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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> Date Received 2 — 1 Phone Contact for Permitting -- <br /> Owner's Name ,11M11 Owner Phone Number <br /> Owner's Address 72— 3 2--- 4, t gf Owner Phone Number <br /> Fee Simple Titleholder Name lar/mmr'�' t� wnec er ione Number I <br /> Fee Simple Titleholder Address / l <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# ')$ 7i II ' oo5° - Qv - 87 10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN i MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR [—I COMM n OTHER I I <br /> TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME I STEEL I 1 OTHER I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ F AGE HEIGHT <br /> BUILDING $ 3 rl 7� VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ C AMP SERVICE ( ( PROGRESS ENERGY I 1 W.R.E.C. <br /> I PLUMBING $ <br /> I I <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS Ii ROOFING I SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES Pi NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <br /> MECHANICAL COMPANY i <br /> SIGNATURE REGISTERED Y / N FEE CURRENT Y / NN // <br /> Address ,�� L c nse # i �J f, - <br /> i <br /> OTH - ��� / / ���� i ��� - COMPANY IrAMI ���� <br /> SIG . - / � / REGISTERED / Min, FEE CURRENT MEW <br /> Address License # ' <br /> RESIDENTIAL Attach (2) Pot 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 />