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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department <br /> • <br /> Date Received / — C/ Phone Contact for Permitting -- <br /> IIIIIIIIIIIIIII <br /> Owner's Name AcilCw d- & S +i . ar 'l Owner Phone Number e30- 26 3V <br /> Owner's Address 3W ©S S{'►QO y f!(-r ,I,K Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# ( ( / —2 6 -Z I - 0060 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE ( 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM 1 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION ( 1 BLOCK �) I 1 FRAME ( 1 STEEL n OTHER 1 1 <br /> n <br /> DESCRIPTION OF WORK i vC ' i C f c 1- 4- ` 2 / r c Fe 4cr <br /> BUILDING SIZE c&@ FOOTAGE t!S 5 L r" HEIGHT 6 '7 <br /> BUILDING $ ` J F 00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ Jo AMP SERVICE 1 I PROGRESS ENERGY --I— 1 - -- W.R.E.C. <br /> PLUMBING $ �' <br /> ,/,/ dO <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLA ION <br /> GAS I ( ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES 1 INO <br /> BUILDER COMPANY i 4 C C ( 7 - 4 C • <br /> SIGNATURE C6 <br /> 4 REGISTERED l Y/ N 1 FEE CURRENT l Y/ N 1 <br /> Address c tj <br /> (b ` St: 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED l Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED l Y/ N 1 FEE CURRENT l Y / N 1 <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />