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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received / — . Phone Contact for Permitting -- <br /> ("Owner's Name ¥— O au'," l n .. . �e L Owner Phone Number <br /> pp <br /> Owner's Address 1 O (5) Sod 01) f S4 -4 /e r m n . �`/ f ??9 ner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 7 1 / T Y (� <br /> OJOB ADDRESS 7 I' 6,4i l -KoLi /eL/r /i -7q� k f-�( <br /> I . �3 j I LOT # <br /> SUBDIVISION PARCEL ID #1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR d ' ADD /ALT I I SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME 1 I STEEL 1 1 OTHER I I <br /> P <br /> 9SCRIPTION OF WORK -- OQLI - N , m .14 Al PJ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> •• BUILDING $ <br /> 40900 e VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> C ^ <br /> �UILDER 7 COMPANY VCS \ ET C 0C ' (N 01 l <br /> SIGNATURE `` .._"_ �.-„ / REGISTERED ( Y / N I FEE CURRENT I Y / .4A-- I <br /> Address I X License # <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 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 1 FEE CURRENT I Y/ N 1 <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 wI 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 />