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813 - 780 -0020 City of Zephyrhills Permit Application , Fax - 813 -780 -0021 <br /> Building Department U7 ; <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name C ` \e,rr ( ei Owner Phone Number si 3- <br /> Owner's Address 57 ) Sfi • Owner Phone Number it l 3 ( .. 2c, <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 ` � 75] )e'5 I { <br /> LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR ADD /ALT I 1 SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 I OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I I STEEL I I OTHER I <br /> DESCRIPTION OF WORK �,e .s\-\ 1 1 l <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> [ ] BUILDING $ QO VALUATION OF TOTAL CONSTRUCTION <br /> (D <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C, <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 11 GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES n No <br /> BUILDER COMPANY /4.. 1700P1 /l/cy L—L� <br /> SIGNATURE '1���/ REGISTERED I Y/ N FEE CURRENT I Y / N I <br /> 1 <br /> Address / V/ 3 k / rQ 7-144 /Q r - 1 c)F ? / T • � i License # = p,205^ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I YIN 1 <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED L Y/ N . 1 FEE CURRENT 1 Y/ N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address I 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N 1 <br /> Address I 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 />