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813-780 -0020 City of Zephyrhills Permit Application qe m-,, Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received' • illurgagag Phone Contact for Permitting -- <br /> Owner's Name _---V� /a .j. tf „' $ t ntir l Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ''ll '/(1/1- ` <br /> J <br /> JOB ADDRESS (g V T q r LOT # <br /> SUBDIVISION PARCEL ID# 01 4 Z-1- 0i eo - vwpv - CS-30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 SFR 1 ( COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I BLOCK 1 1 F I/ STEEL n OTHER 1 1 <br /> DESCRIPTION OF WORK <br /> BUILDING OTAGE HEIGHT <br /> BUILDING SIZE / lc '- VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES n N0 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y 1 N 1 <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y / N FEE CURRENT w <br /> Address =IMF License # 1111/WAILIME <br /> i <br /> OTHER � ,�j / / � COMPANY ►��Il «1�i`�i�� / <br /> SIGNATURE 'elj/g. REGISTERED idailIM FEE CURRE T RIM <br /> ism M 7/ /I/ A Al <br /> Address - greMAI I ri � T� License # EfiZZIE <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 />