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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> 3 3LV c2/ 1 <br /> Date Received S - r Ph one C ontact for Permitting 79 s 7 . - -10 `70 a <br /> • <br /> Owner's Name 4 . ` 1 f .1 ( 9 / 1 li , i 1 00 Owner Phone Number g1, gg 17 { ' I 1 <br /> Owner's Address �� (yam( -` .4'Y ►✓Wd to i()jh 3 ;�b 3 Y - Owner Phone Number SI,J-8 J ` 7 q <br /> - 77 / <br /> Fee Simple Titleholder Name Owner Phone Number t'( 3 - a 3 7 <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS SC Iy I�r \ & ( 1 /- �1 �, -map LOT ## <br /> SUBDIVISION S(IV'e Q ,U *� i PARCEL ID# ©4 o�(.(� cal -co Wjw -(;(J o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED [/ NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> Ir /7' INSTALL REPAIR <br /> PROPOSED USE u SFR n COMM n OTHER I <br /> TYPE OF CONSTRUCTION = BLOCK n FRAME I 1 STEEL = OTHER 1 I <br /> DESCRIPTION OF WORK tj t ak -1 1.71)1./ / I _t,�' �� dll5trm <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT I <br /> E <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 11 ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> .vim PLUMBING $ /� /��, .� <br /> 1 I MECHANICAL $ CI, w VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING n SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES nNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER ,,�•° ; ^ COMPANY 1 ,,1� ,1E (, � j tO ( �( � LI CURRENT 611_011 /V' - VS t , <br /> SIGNATURE REGISTERED I j�1 N r FEE CURRENT N <br /> Address 1 1 - 0 0 ` k t ( - 4 '' M tVr i - 1 4 ( I ( 9 4(0 (0 License # r/ - <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # I <br /> 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 Attomey (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 NC Fences (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />