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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received ` 1l Phone Contact for Permitting -- <br /> Owner's Name 1NEM f E Owner Phone Number p a ' y i` ' <br /> Owner's Address - f - - Y 1 1 1 4 1 )� .: ,( l pc \il .i \ V _ Owner Phone Number f 3) 7) , f 3 1 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4 6 1k 1 <br /> �4 , � -''� ( , LOT # 10" ( C <br /> SUBDIVISION M O ( <br /> CK t \ Q PARCEL ID #1 1 1 / y' t l° + ^1 0 U; <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I 1 COMM n OTHER I I <br /> TYPE OF CONSTRUCTION I-I BLOCK I FRAME 1 I STEEL I I OTHER I <br /> DESCRIPTION OF WORK � P GRAD . E-U.cliZ5K. SRRIA cf.. F(zcvii 1t 14 if To 2-00444 0 <br /> BUILDING SIZE SQ FOOTAGE C7 HEIGHT <br /> I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ t OO 1)1-2 � AMP SERVICE 2.,00 1,1K1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address <br /> 1 License # <br /> ELECTRICIAN `. (_ 1 (' G�^ Q COMPANY OGV 641-5 '€i(4 -Gf L SIGNATURE (Vl(� zj REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address U 4 /7-6 — C0V j ry C.J.Jl1.0 OA If << r/ 335 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . 1 FEE CURRENT I Y/ N I <br /> Address License # I <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 />