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813 - 780 -0020 City of Zephyrhills Permit Application - <br /> Building Department i <br /> • <br /> Date Received <br /> (�, Phone Contact for Permitting g6 k <br /> Owner's Name k 0A // lc SLi1 LL4 4 0 + Owner Phone Number <br /> ! <br /> Owner's Address 7 ( 7 31 Owner Phone Number <br /> � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S /I HL-- LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ,∎►mow, NEW CONSTR I I ADD /ALT I I SIGN FT MOVE I I DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE 11 SFR I I COMM I OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK ,1 FRAME ( STEEL I OTHER I <br /> DESCRIPTION OF WORK A � " / A /5 4 3 4 5 1 -- -1' / - , n 2 — <br /> / <br /> BUILDING SIZE A6 / X- / 3 ( SQ FOOTAGE HEIGHT 5 / 4� 0 <br /> C <br /> , ` BUILDING $ - D 0 D_ C - VALUATION OF TOTAL CONSTRUCTION <br /> I ` 1 <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY pi W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES pi <br /> al r <br /> BUILDER � , �'f <br /> V / <br /> COMPANY ''�7t 1,---6-/--7‘...------ ' 4 <br /> SIGNATURE 4 .► . ► - i/' REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> /c 7� p� <br /> Address //f St , �, , A License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 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 /> 0 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 />