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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department 21--<..1 <br /> ., <br /> . <br /> ,f1 <br /> / <br /> y — 4 a/ Co hone Contact for Permitting 1) / <br /> Date Received 7 <br /> / <br /> Owner's Name 14/2.62,4( S ' - - -•– - Owner Phone Number <br /> Owner's Address 3 k7 /1 y J i`T Owner Phone Number <br /> Fee Simple Titleholder Name Y Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 19,f c I< . . -,71 7 f / X - LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR 1 I COMM I I OTHER ' I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I 1 STEEL I OTHER Z/z ,,,,, <br /> DESCRIPTION OF WORK y V ,A.4 ), '"' L-(I.G4%S ,,n. ..j . e 7 .1.- -l..� U'Z9 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ j o a VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> I 1 PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER GG <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 yC INO syU (, f , <br /> - 1 -io <br /> IN. I BUILDER ` �,rt ' COMPANY (Z'LL -5 ( <br /> SIGNATURE V g \, REGISTERED I Y/ N I FEE C RRENT I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # F l <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. (AIC 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 />