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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> • Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> 111111111111111111117 <br /> Owner's Name 00 Q_ 6- 14c Z L ( .a,s / .- Owner Phone Number <br /> Owner's Address C G 95 -5:.TZV[' 0 44-54.- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -S4 µt LOT # <br /> SUBDIVISION S.z L v fA_ 614 Y S PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME I I STEEL I I OTHER 1 I <br /> DESCRIPTION OF WORK f7t 4r ) , C/ f C f 6 G/T <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENE •,, W.R.E.C. <br /> PLUMBING $ V___6 <br /> ( MECHANICAL z <br /> I-lU $ � C VALUATION OF MECHANICAL INSTALLATION � <br /> 1 GAS 1 1 ROOFING 1 I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES {--]NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N ,1 FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # // �J/ <br /> MECHANICAL / f COMPANY K 1 &/2 S �t pa i G S f 1 <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I ,4.111-5's <br /> / N <br /> Address J9 � / / 4 / /i'yv 'of 2- H-1 /s' 57.) License # bite �/ 5/ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N j FEE CURRENT I Y/ N I <br /> Address <br /> 1 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 />