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813- 780 -0020 City of Zephyrhills Permit Application <br /> Building Department �� <br /> ■ Fax- 813 - 780 -0021 <br /> Phone Conta for Permitting , / -- ' <br /> Date Receives( /�� - -__ <br /> U , v _ t 1 L 6 I Owner Phone Number fa- 31S J lL s--- Owner's Name C• � ` I <br /> Owner's Address 5TC �i!/JS A� I Owner Phone Number I <br /> Own 1 2 <br /> Fee Simple Titleholder Namel <br /> Owner Phone Number 1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I „00 a.s / I LOT # I <br /> SUBDIVISION /j/L'/'7/ /1,is // I PARCEL ID#1 ? -0Ze— 2../ PROPERTY NOTICE) <br /> `el r <br /> (OBTAINS p FROM <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT 1 I SIGN Q MOVE Q DEMOLISH <br /> . INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM n OTHER I I <br /> TYPE OF CONSTRUCTION Li BLOCK 1 I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK I //f5 "( ,4r I -.,4a- 1 m 1`f / g0 - P l I <br /> BUILDING SIZE SQ FOOTAGE I I HEIGHT I I <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION oc Et) - 0 " <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY [ ] W.R.E.C. <br /> ,V%'Ep 4-111.8 ///7Y 005 . <br /> I I PLUMBING $ <br /> MECHANICAL $ ��0 VALUATION OF MECHANICAL INSTALLATION 11 8 l <br /> 1 1 GAS I 1 ROOFING 1 I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATION ," ;--- +AIL FLOOD ZONE AREA I IYES n NO <br /> IW= 41'F'' -u4,— <br /> a c _ <br /> i 4 <br /> BU R COMPANY / �Jy l f FEECU ' NT �j 4" SNAT REGTERED Y N I C Y / N 1 <br /> Address 0,11 l7ftrAi.a-a . —ihp. 3 34 , 2 frL License # e -- - / 2 .5 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # 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 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 />