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813 -780 -0020 City of Zephyrhills Permit Application A I„ go (3 Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> IIIIIIIIIIttIllIL 1) n - <br /> Owner's Name ' )Or . � Q W ti t Owner Phone Number 6t ) 1 c l - L t f <br /> Owner's Address '- 7 '4` O ( Pl Owner Phone Number (31 >(5.3 ' 7 �� L} <br /> Fee Simple Titleholder Nameo(■c-- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS t3� I L }� c-c-__ x r -u�- - ,p \ 1s � �� LOT # <br /> SUBDIVISION \ Vw Cx,�\ w� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE dc 1 SFR 1 1 COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION ( I BLOCK 1 1 FRAME n STEEL 1 1 OTHER 1 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> z1arr <br /> Enl BUILDING $ f COO 4 r VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 1 PLUMBING $ <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 DYES w NO <br /> • <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address / License # <br /> OTHER _ Jj�) /� COMPANY e. <br /> SIGNATURE r REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I S l OX c ' vrm • \ 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 /> O - = NTER PERMITTING (Front of Application Only) <br /> Rero. Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />