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813 -780 -0020 City of Zephyrhills Permit Applicationq 7 Fax -813- 780 -0021 <br /> Building Department <br /> 1 <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name 7 el (AAA 0'V ? Owner Phone Number <br /> Owner's Address 3 7 y .2:3 r_.....,..,:„._Ef..? / Owner Phone Number <br /> Fee Simple Titleholder Name 01,( , �� f Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# 24- 24 - Ve33o - OU ) _//`?.) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN I 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 F E e I STEEL I I OTHER I <br /> DESCRIPTION OF WORK <br /> -.....A-54—...4.---4 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I BUILDING $ i �[ A /') tALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ / / ( (� - AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.0 <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS 1 ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 17 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 I FEE CURRENT I Y/ N I <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 Y/ N RR NT 1 Y / N I <br /> Address / / V f se t _ _ , <br /> OTHER 7 7f7 COMPANY SIGNATURE ' REGISTERED Y / N I FEE CUR' - • 1 Y / N <br /> Address / <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 A/C Fences (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />