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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 9091 <br /> Building Department <br /> Date keceived ' Phone Contact for Permittin • -- <br /> Owner's Name I ML�1LUI Owner Phone Number 6111 M> /Pgi <br /> Owners Address g I If !.TIff�'i_� s Owner Phone Number <br /> Fee Simple Titleholder Name' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 0 JOB ADDRESS EM V �, 11� /�IPME co. Z. MOM �) LOT # „- <br /> SUBDIVISION PARCEL ID# /� 1 —0 `-' •Q� AP A., 11 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR . Q SIGN n MOVE n DEMOLISH <br /> INSTALLQ REPAIR <br /> PROPOSED USE Q SFR [] COMM n OTHER I I <br /> TYPE OF CONSTRUCTION n BLOC / FRAME Q STEEL OTHER I I <br /> DESCRIPTION OF WORK # ' • ( .„,• • 0 , L W Iii 0. 1 " , vi- <br /> BUILDING SIZE SQ FOOTAGE' HEIGHT <br /> Q BUILDING O t.' iip. �. VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE E] PROGRESS ENERGY Q W.R.E.C.. <br /> E PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ►� 1 /1 lll/// <br /> I GAS n ROOFING n SPECIALTY n OTHER 'v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA EYES NO <br /> : LDER r COMPANY I P ( I R G Fe_oc_e. <br /> ATURE L ∎ ../_iliA 0 i REGISTERED Y / P} FEE CURRENT N <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> PLUMBER COMPANY ' <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> ■ <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 /> a ' <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 />