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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department i f 93 G� 3 <br /> , . <br /> Date Received 7- �9 � wi,l•� ne Contact for Permitting F / 0,9 -- :3 <br /> Owner's Name <br /> IIIL,AI..�l�`W / Owner Phone Number <br /> Owner's Address 111. 0 •••• f a ji i A Owner Phone Number <br /> .■••� <br /> � ∎O W ∎� — ■ <br /> Fee Simple Titleholder Name llIMM ' I . PI7Ir% �� — Owner Phone Number <br /> Fee Simple Titleholder Address / 1 <br /> JOB ADDRESS LOT # -1 <br /> SUBDIVISION PARCEL ID# tV ° ( p — Li " 00b0 00 I N - 0 v (10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM n OTHER I <br /> TYPE OF CONSTRUCTION I BLOCK 1 1 FRAME I 1 S up, OTHER 1 <br /> DESCRIPTION OF WORK ' <br /> BUILDING SIZE / r SQ FOOTAGE / HEIGHT <br /> I BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.0 <br /> I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF NICAL INSTALLATION <br /> f I GAS I I ROOFING I SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I1 NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <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 I Y/ N I <br /> Address License # I- <br /> MECHANICAL % COMPANY <br /> SIGNATURE 4 //' a j ED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address -,ir „AI/�AIII MIN i•-nse # /`= � , A•0' <br /> OTHER r "� Mil <br /> COMPANY / __ r i <br /> SIGNATURE ,V�gI f� REGISTERED FE CU ..- mo♦ <br /> �A�/ - J • <br /> Address ������ License # <br /> s �Ullik•••■110 -It <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 />