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813 -780 -0020 City of Zephyrhills hermit Application rax -d IJ- inu -uu 1 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> tttlltlllrtltll - <br /> Owner's Name M4 5 O rt 0 S Owner Phone Number <br /> Owner's Address --pp. 13 0)4. A v,S k 14 L- Y1✓ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c3 CI 23 1 ' 9 51 • LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F' ADD /ALT I I SIGN 1 1 MOVE I I DEMOLISH • <br /> INSTALL M REPAIR <br /> PROPOSED USE I I SFR I I- COMM I I OTHER I <br /> TYPE OF CONSTRUCTION 1 BLOCK ( I FRAME I 1 STEEL 1 ( OTHER II <br /> DESCRIPTION OF WORK � r a c V -c- �/�� lli e(/ ci l &4�p) � s D��r0v - ` 4 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I ■ I BUILDING $ • VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ vv AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 I SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN F ' G , COMPANY I C�r1 4J O <br /> SIGNATURE WY�l REGISTERED I Y/ N I FEE CURRENT I YIN <br /> Address 7 CT (einno C Ir'I! , C etr r'bv � Pi- • 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 I Y / N _1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 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 wI 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. (AIC 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 /> • <br />