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813-780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> Building Department c7 309 <br /> Date Received • y - 2-9 Phone Contact for Permitting 3 � (37 <br /> Owner's Name l ° E - f C orJAJ Et L Owner Phone Number <br /> Owner's Address C �3 6 / <5/, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � i g -h S / LOT # <br /> SUBDIVISION PARCEL ID# / - Z4 - 2) - 00( : 1 7D ° — 0 /Z " <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR C ADD /ALT 1 I SIGN 1 I MOVE ( I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION 1><, I BLOCK I I FRAME ( I STEEL n OTHER <br /> DESCRIPTION OF WORK IAJ31 4/- L Mi (t'Y L ROOF UVC EXIST, 5d (Ai L� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT (- $ /'rV <br /> BUILDING $ / 35.D 0 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> I PLUMBING $ pV <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS � ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nNo <br /> 're V / 11/1/1•°/1A/A/ l �l/t/5!t v�T - -" <br /> BUILDER COMPANY ' <br /> SIGNATURE / REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 2 3 0( / / f j f ;--/ U- 1,44/ -4 7/✓ "o // 1 License # l ' 3 - 6 /‘ 6 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N i FEE CURRENT I Y/ N i <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />