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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department - y e'AE & <br /> Date Received ' � P <br /> y /�/' g Phone Contact for Permitting / <br /> Owner's Name /V /,G- /(/ /' //5 Z, ' <br /> } ( , Owner Phone Number <br /> Owner's Address // 21 , I I�,wner Phone Number 1 <br /> J <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address f� <br /> JOB ADDRESS ✓ �� y, 7 /l c <br /> 7 ��� � � LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I—I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I I COMM n OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I 1 FRAME I I STEEL [I OTHER I I <br /> DESCRIPTION OF WORK , c I //6„/-r46'21 <br /> /6,/-r/C F-2(C76 W , <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 1 <br /> 1 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 5 / J, f/ v b AMP SERVICE I I PROGRESS ENERGY h W.R.E.C. <br /> I I PLUMBING $ � `��'' <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS I 1 ROOFING I 1 SPECIALTY Ii OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N .1 FEE CURRENT 1 Y / N I <br /> Address r 6 License # <br /> t <br /> ELECTRICIAN n ) (� COMPANY / „ e /d,ityd0-2 <br /> SIGNATURE tilt /_,/,. /2 .' REGISTERED [UHT I FEE CURRENT I Y / N I <br /> A/En S% Rt <br /> Address , _nor License# / <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT /` I Y / N I <br /> Address I License # (\ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <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 />