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813-780 -0020 City of Zephyrhills Permit Application ,, efi Fax-813-780-0021 <br /> Building Department <br /> - <br /> Date Received //�� Phone Contact for Permitting <br /> Owner's Name �A ?l.- Kutv. c'cl G L Owner Phone Nu I 2 /5 7&2' 7`L81 <br /> Owner's Address 8/9 6th ayr',zeph-wt >lll Is , FL-335 Owner Phone Number � <br /> Fee Simple Titleholder Name !> P13u1 k u� 3 Owner Phone Number <br /> • <br /> Fee Simple Titleholder Address Bin? ( 6t � 0 `l ls ' 'I 07-1 Ida - 3 3 SI'�Z <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I 1 COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK / I 1 FRAME I 1 STEEL n OTHER I I <br /> DESCRIPTION OF WORK AA X c ( er C e. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> WA BUILDING $ ��� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE ( 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I 1 ROOFING I 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA IYES =NO <br /> BUILDER s / 4 ) / ,' 4 ' COMPANY 1V <br /> (/ �.vr� <br /> SIGNATURE " " REGISTERED I Y/ N I FEE C URRENT I Y/ N I <br /> Address License # <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 I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 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 />