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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> Date Received S Vt Phone Contact for Permitting -- <br /> Owner's Name R SCia > �� Owner Phone Number - \3" 1' \S0\\ <br /> Owner's Address . ��n \is. . wb ` , -� t! ' Owner Phone Number <br /> it <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS . S 41 1 ∎14sk L� --D \ ' r \ ; \ LOT # <br /> SUBDIVISION PARCEL 1 S Z, cc ��Z, T\ S " <br /> T AINED OP �•'� $ \C NOTICE) > -1-.(kelp <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE n D OLISH 1 - ) <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I I COMM 1 I OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I STEEL h OTHER 1 <br /> 1 'c J ',1 o. , <br /> DESCRIPTION � /! ° � _�_ i ` ► ���...� •a.t ..�� � it IRIS <br /> BUILDING SIZE MEM SQ FOOTAGE HEIGHT <br /> I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY a W.R.E.C. <br /> 1 I PLUMBING $9i O 1 <br /> .45<1 MECHANICAL $ 3 + VALUATION OF MECHANICAL INSTALLATION <br /> 11 GAS I ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES []NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address 1 License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N 1 <br /> Address License # 1 <br /> MECHANICAL COMPANY �A <br /> SIGNAT e� 4 ow ! REGISTERED Y/ N I ENT <br /> T� sCr )• Y/ N I <br /> ii iM p sib 4 , <br /> Address _ Ill ' t 'SN___ = License # Q C., ,\Tc\ \() , <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y / N 1 <br /> Address 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 />