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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received AA Phone Contact for Permitting -- <br /> Owner's Name I " l ve . D k( - Owner Phone Number <br /> Owner's Address got LA e / (.Ub 05i Ol Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ] 1 �r <br /> JOB ADDRESS 6 go( La., v i» 0 </ I LOT # <br /> SUBDIVISION 1 ?;U w t )ok_ ks PARCEL ID# D 3 ZIP - Z 1 —000 - 0 ° 00 ( — 00 3o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 1 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME I 1 STEEL 1 1 OTHER 1 <br /> DESCRIPTION OF WORK i kip t L t 3 o 1,ec - /L rkg l f JI j '' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 BUILDING $ 01J V ,1 j v VALUATION OF TOTAL CONSTRUCTION <br /> 1 ( ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES nN0 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N 1 <br /> Address License /# qG, <br /> OTHER �� COMPANY SC dff (4. 41.' @ <br /> SIGNATURE 444 � / REGISTERED 1 Y / N FEE CURRENT 1 Y / N <br /> Address 1 Q &K (( V h (H N / f 3 35 7 l# I License # FE C U ,- 2 7S 2 <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 />