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813 -780 -0020 City of Zephyrhills Permit Application aX- 813 - 780 -0021 <br /> Building Department <br /> Date Rece ~, , .l -o C� U <br /> 'i 1 Phone Contact for Permitting -- <br /> Owner's Name , S T e /7 ( I S7; ‘,./ ,' 4 � V v Ch P 4 - Owner Phone Number <br /> Owner's Address 1 b 6 0 g ' I <br /> Owner Phone Number I <br /> Fee Simple Titleholder Namel I I <br /> Owner Phone Number l <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS I 6640 �j� 1 LOT # I <br /> SUBDIVISION I 1 PARCEL ID #I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR I I ADD /ALT I 1 SIGN <br /> INSTALL REPAIR I I MOVE 1 1 DEMOLISH <br /> PROPOSED USE 1 1 SFR 1 ,›Si COMM 11 OTHER 1 <br /> TYPE OF CONSTRUCTION ( 1 BLOCK I I FRAME I <br /> �1 I I / STEEL I I OTHER 1 I <br /> DESCRIPTION OF WORK I d- 5 7 d K/ Ch d � © v <br /> I I <br /> BUILDING SIZE 1 SQ FOOTAGE 1 I HEIGHT I I <br /> I BUILDING ($ I <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL ($ I <br /> AMP SERVICE I 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 PLUMBING I$ 1 <br /> (..0 r* <br /> MECHANICAL <br /> I$ i, Q ©D I VALUATION OF MECHANICAL INSTALLATION ( V <br /> ' i , 1/- <br /> 1 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> 8 <br /> FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA 1 'YES 1 NO <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address ( <br /> 1 I <br /> License # <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE <br /> REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I 1 <br /> License # <br /> PLUMBER I COMPANY I <br /> SIGNATURE I REGISTERED Y / N FEE CURRENT _1 T 1 Y/N 1 <br /> Address I I I <br /> O f License ' # <br /> MECHANICAL / COMPANY I J 0/L d, S cd U,{J /, iacz) <br /> SIGNATURE AIL....../ ,`` • REGISTERED 1 1 FEE CURRENT 1 Y/ N 1 <br /> • <br /> Address I I R /1^ 0 0 t 9 / 1 <br /> License # Y "1 U 7 0 <br /> OTHER I COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y / N <br /> 1 FEE CURRENT 1 Y/ N 1 <br /> Address I ( I <br /> 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />