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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received – J4 ` (J dr Phone Contact for Permitting -- <br /> Owner's Name G r % 0L _ T . !I . Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I J <br /> JOB ADDRESS 1 (� 0 /0/ (p 0f 1 r i LOT # <br /> SUBDIVISION !/ PARCEL ID#1 & - Je ✓ -/ )/ - 2 9 / 4 i -6a /D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I I COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I 1 FRAME 11 STEEL 1 I OTHER <br /> DESCRIPTION OF WORK / / 1,()rn» / -E2t - f <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> \IF <br /> vA BUILDING $ 2 p D - �X VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVIC — PROGRESS ENERGY R.E.0 <br /> I I PLUMBING $02 d <br /> I 1 MECHANICAL $ VALUATION • , CHANIC ' TALLATION / 5( // <br /> I I GAS 11 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES []NO <br /> BUILDER COMPANY IV U C-0 ` e/f <br /> SIGNATURE v .ap REGISTERED I Y/ N I FEE CURRENT ` I YIN <br /> Address License # <br /> 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I YIN 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 />