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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department /� <br /> Date Received 0 Phone Contact for Permitting Ei I- 7 - (c1 <br /> Owner's Name t-eS[(k_ A. INIp ercon'4- Sc.Lv'i S G{) • t( ' 9 Owner Phone Number '7- 7igo <br /> Owner's Address 50 36 tot l-i-t S� - 7 <br /> , �-S r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Scwt 42 <br /> / LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT pi SIGN I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR cap( Nyl <br /> PROPOSED USE Cal SFR 1 1 COMM 1 I DTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 II FRAME 1 I STEEL n OTHER <br /> DESCRIPTION OF WORK Pi Q__—rO t U1 y �-S <br /> BUILDING SIZE SQ FOOTAGE l plk HEIGHT <br /> I 1 BUILDING $`' ) CO (_ 5 _ '2-9 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE ( 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 1 PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS IX] ROOFING 1 1 SPECIALTY 1 1 OTHER 4,-ff <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ENO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N j FEE CURRENT 1 Y/ N 1 <br /> Address License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I 1 License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> r <br /> OTH �, I COMPANY ��r R- Q(g�l T' ` � <br /> SIGNAT - Al, • �,��� ■__ REGISTERED 1 Y / N 1 FEE CURRENT 1 YIN I <br /> 1 � * S --CC,.-12._ �S�s�S <br /> Address e , �qt�. ( Licen # <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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />