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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> • n C� Building Department <br /> Date Received — cam- �p ' / Phone Contact for Permitting 35.2 5,2 -- "l l <br /> Owner's Name kA _ 1 j' Qm' ► v UK p 2 Owner Phone Number g/3 - [ ' `'1 - O "l /2✓ <br /> J <br /> Owner's Address 5 1 g 1 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address t 6 �}- <br /> JOB ADDRESS 55 g t $ I LOT # <br /> SUBDIVISION PARCEL ID# l (— — �i 0010— 11 TOO-013D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE M SFR 1 I COMM n OTHER 1 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK � 1 1 FRAME 1 1 STEEL 1 OTHER 1 1 <br /> ),, <br /> DESCRIPTION OF WORK . (' COY l out <br /> BUILDING SIZE SQ FOOTAG HEIGHT <br /> I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENEI '" 1 Vcr.R.E, <br /> 1 1 PLUMBING $ 9, <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / <br /> 1 GAS 1 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nNo <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED [ Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N 1 <br /> Address ( License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # T <br /> MECHANICAL �1 4 COMPANY lilu is ' tc <br /> SIGNATURE ��,����` REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address C ? 2 ,3 US • 1.4 y & 1 J License # C 4c 5 5 '7S <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 />