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813 -780 -0020 City of Zephyrhills Permit Application ,J Fax-813-780-0021 <br /> Building Department . I- 1 : <br /> Date Received L�" . /! Phone Contact for Permitting -- <br /> Q Q <br /> �CN < { 00 1 Owner Phone Number ?3,?" �v <br /> Owner's Name _ <br /> Owner's Address �O �j Q O/ v / L /6)-OF Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> LOT # <br /> JOB ADDRESS 7 <br /> SUBDIVISION PARCEL ID# , 1 _$2 fz' — 21 0 01 - (000 - 0/00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR I I ADD /ALT 1 1 SIGN 1 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Lp SFR I I COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK 11 FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK O(/e RA C 7074- <br /> Lk 6 �' y • <br /> BUILDING SIZE .90 FOOTAGE HEIGHT <br /> I BUILDING $ i-17(-12 . o il V VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.0 <br /> I I PLUMBING $ " 1 . <br /> I i MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I <br /> BUILDER COMPANY AM e cWAV4/,. i -O _TS) C <br /> SIGNATURE • REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED ( Y/ N I FEE CURRENT I Y / N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <br /> Address f License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # f <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 />