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813-780 -0020 City of Zephyrhills Permit Application # /a7 57 Fax -813- 780 -0021 <br /> Building Department "( <br /> Date Received ' � `"() q ph.Jontact for Permitting -- <br /> Owner's Name ��eFf/ • • • ' -r Phone Number <br /> Owner's Address 111F2111rjair UAL, Owner Phone Number <br /> ii■ U111111 <br /> Alli <br /> Fee Simple Titleholder Name L 110 0 ' ( Owner Phone Number <br /> /'-r/ <br /> Fee Simple Titleholder Address y��� /LI��' <br /> di <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# - p 24 ' O D 2-b' 00000 - o / l G <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 Li SFR 1 1 COMM I OTHER I <br /> TYPE OF CONSTRUCTION h BLOCK 1 FRAME I I STEEL h OTHER I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOO HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 11 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1---1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 14 <br /> Address Li nse # / <br /> OTHER W�� ,/� /// �tl� %/%/, <br /> (�� �, COMPANY <br /> SIGNATUR ' ' / REGISTERED Y / N + FEE CURREN Y / N <br /> Address License # I <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 />