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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received g /4 6 q Phone Contact for Permitting - <br /> IIIIItfIIIIIIIILLLLLY_ <br /> 4 <br /> S ` D�Yd Owner Phone Number --- .)C.) --- .)C.) _ . O XJ <br /> Owner's Name �A ^ b r <br /> Owner's Address SOo�o`- V O Sr .e `� Z-Q1'� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number , <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S okri e._ / LOT # <br /> SUBDIVISION PARCEL ID# I -24 _Zl_ C010 ' — z_ /S 0 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I N NEW CONSTR I I ADD /AL 1 1„, SIGN n MOVE 1 1 DEMOLISH <br /> PROPOSED USE 1 I SFR I I COMM I] OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME n STEEL 1 I OTHER I I <br /> DESCRIPTION OF WORK —r ocif ht. u Q Ga1 1 I h ` 1 'Q S <br /> BUILDING SIZE SQ FOOTAGE 1. HEIGHT <br /> BUILDING $ -5530.P-9- VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY .C. <br /> PLUMBING $ �13 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I ROOFING I 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I YES FIN° <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # 1 <br /> Q �J ,/ ` � r te ,, -(� <br /> OT � <br /> lop 1 1 � '1 0 . 1� ' x"1 001` \� T' "-'� <br /> SIGN C <br /> 1 REGISTERED � N FEE CURREN 1 Gal 1 <br /> Address 3(e)(-tij c j sq •,...' 1--lttts 1 License # C t.c.�s© S <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 />