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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received 2 —3 /—. g Phone Contact for Permitting <br /> • <br /> Owner's Narne Jr) h Pe ti/ Owner Phone • ber <br /> Owner's Address 3(o tri g' Ga v e n C , W O, Owner Phone Nu <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 2t' Gov n C LOT # / (� <br /> SUBDIVISION PARCEL ID# 2 -4 ' Z 7 ZI 0000— 0 0 /V c) - 0096 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I ✓l SFR 1 1 COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL ri OTHER I I <br /> DESCRIPTION OF WORK -/ 4 in /1 y 1 Ski <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> o)DO• o0 <br /> I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> ( I PLUMBING $ h L _ ,,/ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nNO <br /> BUILDER � * �� COMPANY f '�oT a . u, v ( . <br /> b YZ,R. <br /> SIGN ATURE L'Y1�, REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> • <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED [ Y/ N I FEE CURRENT I Y/ N <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 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 1 <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 />