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813 - 780 -0020 City of Zephyrhills Permit Application . <br /> 1 ' r t <br /> Building Department _ U <br /> Date Received ' ii -O G Phone Contact for Permitting -- <br /> IIIltlltll11111 /� _ 9' <br /> Owner's Name yi. N eo n r / N< r Owner Phone Number 45 / <br /> / 7-171 / Owner Phone Number <br /> Owner's Address _.5 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address J (� <br /> JOB ADDRESS J / a Q 1 / 7 7/ / ,f 7 LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I I SIGN 1 1 MOVE 1 1 DEMOLISH <br /> ��, INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 I FRAME ' I I STEEL I I OTHER I I <br /> C OF WORK hA 151. T a 1 , 2 Z ' 3" `"/ `f 7 <br /> BUILDING SIZE 1 SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> MECHANICAL $ (/ /t,(/V/v�/�� a � C � ) VALUATION OF MECHANICAL INSTALLATION <br /> t f <br /> I I GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES IINO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I 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 Z___ l COMPANY LL J P. i.,fp''1 SIGNATURE REGISTERED Y/ N I FEE CURRENT Y / N I <br /> Address 3_ .S? A ,& /! Yoc Ze. iek Lod / 34 License # I II4 C O '/C 7 o .5 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 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 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />