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813-780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ( U®VV <br /> Date Received . .5' ZOfv Phone Contact for Permitting 3Sa c:1 -- 306 <br /> Owner's Name -7- / (/'- 4 eiA4 Owner Phone Number k/3 " ,960g 3/4‘(3 <br /> �-> r 9, r <br /> Owner's Address i 2 X.(f }fi/i/i - / 7 I /,i - /fi' 3 �? Owner Phone Number <br /> Fee Simple Titleholder Name 4) Owner Phone Number <br /> Fee Simple Titleholder Address /t)/' <br /> JOB ADDRESS �.,'-7/ LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT ( 1 SIGN I 1 MOVE 1 ( DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ( ( SFR ( 1 COMM 1 1 OTHER I SA CN r oar I <br /> TYPE OF CONSTRUCTION ( I BLOCK I I FRAME ( ( STEEL ( ( OTHER 1 ( <br /> DESCRIPTION OF WORK ' ! / - 4 % , n ,_ , ',c,<-- � k 04v / 7 G� i' /1 J - ll',/ nite; <br /> BUILDING SIZE `7 / 7 SQ FOOTAGE (.0 HEIGHT <br /> I ( BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> L I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY ( ( W.R.E.C. <br /> I ( PLUMBING $ <br /> I ( MECHANICAL $ 3/_c7, a' VALUATION OF MECHANICAL INSTALLATION <br /> I ( GAS 1 1 ROOFING 1 1 SPECIALTY ( I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES 1 (NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <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 I Y/ N I FEE CURRENT I Y/ N I <br /> Address / , License # <br /> MECHANICAL " c": <br /> � COMPANY ,0 wCJ y //), 7/VC <br /> SIGNATURE / / , 41' REGISTERED I Y / N I FEE CURRENT I Y / N <br /> Address License # I CSC /8i S6 I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y/ N I <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 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 />