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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> • <br /> Date Received oh n5 Contact for Permitting -- <br /> Owner's Name '-- o y l n5 o , ^ 1 Owner Phone Number () I 2 ✓ l ' - 8 7 <br /> ,3 <br /> Owner's Address c 2� 5 1 \ '4 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /� <br /> JOB ADDRESS � 110 ck T- C71`f" ' LOT # <br /> SUBDIVISION PARCEL ID# • <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN 1 1 MOVE ( 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 SFR FA' COMM n OTHER <br /> TYPE OF CONSTRUCTION 1 BLOCK 1 1 n {� <br /> FRAME , 1 STEEL (� 1 OTHER I <br /> ' <br /> DESCRIPTION OF WORK CED totem T . ( k C I 1 i C c (' I i ��<' k- vi f C <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING a...; a VALUATION OF TOTAL CONSTRUCTION <br /> I ( ELECTRICAL $ �rs�►1� )Z0 AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> 1 PLUMBING $ 200 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING 1 I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES n NO <br /> BUILDER / COMPANY ( 1 <br /> I <br /> SIGNATURE / REGISTERED ( Y / N EE CURRENT 1 Y / N <br /> Address ( License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> P L U M B E R <br /> 9. C O M P A N Y ( 9 — ' 6 4 S I G N A T U R E REGISTERED I Y/ N ` FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />