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813 - 780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 -0021 <br /> Building Department ,1 51 <br /> .. ,. . (A iti <br /> Date Received - (, Phone Contact for Permitting : /3 A-7 - • <br /> „_. <br /> Owner's Name Dig,,, L- Q r,,, n S - Ay) Cr ). art../ Yt 5 Owner Phone Number g- i 3 - 7 4 (2 S <br /> Owner's Address 5g a o Cyr r S S 6i Zee& - Ft • Owner Phone Number Cr it L' I q- 3o S -/0 9 <br /> Fee Simple Titleholder Name / Owner Phone Number L <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 5tY)c7 (, `f De 4 ' Ft - 1 LOT # <br /> SUBDIVISION AP RCEL ID# I - a. I - Q O[o _;c o ; oD 0 <br /> - -- (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR 1 f T HER 1 <br /> TYPE OF CONSTRUCTION 1 I BLOCK . - -- }- - FRAME 1 1 ST EL I 1 OTHER I I <br /> DESCRIPTION OF WORK '�C�('ri i /71 t t 0 V C-44 N.yf.) (10 ✓1 S J ” - � - -- <br /> BUILDING SIZE SQ FOOTAGE--- HEIGHT <br /> W/ BUILDING $ OG ALUATION OF TOTAL CONSTRUCTION ) <br /> c noo --- <br /> I 1 ELECTRICAL $ AMP,PRVICE I I PROGRESS ENERGY El W.R.E.C. -(----- <br /> PLUMBING $ \ �A i/ , �y'_n ,.., <br /> _4r,, <br /> MECHANICAL $ VALUATION MECHANICAL INSTAL •N ---'- <br /> I 1 GAS I 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO <br /> BUILDER (c) COMPANY )� 14/40/ <br /> SIGNATURE V � G (/ r REGISTERED � Y N FEE CURRENT 1 Y / N I <br /> Address - License # <br /> ELECTRICIAN t - COMPANY <br /> SIGNATURE \ 1 REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address License # (- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 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-0-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-0-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 />