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813 - 780 -0020 / -- ------ City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> , ✓ N B Department f `-- i 0 <br /> Date Received ---7 3 - /'' •, Phone Contact for Permitting -- <br /> IIIIIIiitliiiii e■ - - - -- - - - -- <br /> Owner's Nar 4e /1 /i / „� /..if ..e. . . _ Owner Phone Number <br /> Owner's Address 6/9' / 4 '4E4€-' .e. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehder Address <br /> JOB ADDRESS , , LOT # <br /> SUBDIVISION PARCEL ID# 0 2 - L J - 2,1- 00 2c - �3oo WO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE NKr SFR ( 1 COMM I 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I c 1 OTHER I / J� I <br /> DESCRIPTION OF WORK �� L $� btii - / Dt0rs <br /> e� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> zz <br /> I �/ y BUILDING $ F 7 / D� VALUATION OF TOTAL CONSTRUCTION <br /> • LJ ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 I W.R.E.C. <br /> I 1 PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I I SPECIALTY I( OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO <br /> 4 <br /> "AM I <br /> BUILDER �� �� COMPANY �� .. M � � <br /> SIGNATURE 4,', LIL,�/ A eket REGISTERED I Y 1 FEE CURRENT 1 Y/ N 1 <br /> Affdr e / , t °, . ' License # <br /> ELECTRICIAN COMPANY x-73 ��2 c-"--------"`_ <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 . 1 FEE CURRENT I Y / N 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 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 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 /> i <br /> Driveways -Not over Counter if on public roadways..needs ROW <br /> 4 <br />