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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> __._._.. ___ .. Building Department �/ <br /> Date Received ! .— - 7 U ,/U Phone Contact fo Permitting f /�= -- _ 5 _ <br /> ••• <br /> Owner's Name � , !� I t- l c ' / _ /9-ea ( 4 a 4,1 Owner Phone Number � 3 7 k 5 c' <br /> Owner's Addres - 3 73 3 ,Ztc v r-e 1 gr lei wt LI C A 0 r Owner Phone Number <br /> Fee Simple Titleholder ` • Owner Phone Number <br /> Fee Simple Titleholder Address > T. <br /> JOB ADDRESS / 9' JCS /Q� 1 J (/(..-) /A LOT # <br /> SUBDIVISION PARCEL ID 3 '„ _ -/ e Z.) U•b Cr <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 I OTHER <br /> TYPE OF CONSTRUCTION 1 I BLOCK 1 1 FRAME ( I STEEL 1 1 OTHER <br /> DESCRIPTION OF WORK `-- 9 ' Y t)- / /� e ryO /( <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> VIEW <br /> WN BUILDING $ •3 a ci VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 7 AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ( YES I 1NO <br /> -..■ <br /> BUILDER ' <br /> UILDER G ` COMPANY //"-- I`f 4 Gf4 O co K -P 4,--, SIGNATURE lie/( � ' " (� '� l l REGISTERED I Y / N I FEE CURRENT I Y / N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> " ** *PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> "" Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />