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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> Date Received - Phone Contact for Permitting -- <br /> Owner's Name t 7 e Q / \ Owner Phone Number 0 <br /> 2 6 Or <br /> Owner's Address © • 4 a-/ s C Owner Phone Number <br /> i isrwravAmerammaisar. r <br /> Fee Simple Titleholder Name /4 /! -eJ- � b pL /1 Owner Phone Number <br /> Fee Simple Titleholder Address L > " ! �S La k.(. -t rife 19/ �SZS <br /> JOB ADDRESS Gl V l -� /,2 ,57 LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR I I COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION 1 I BLOCK / I I FRAME I I STEEL I . I OTHER 1 <br /> DESCRIPTION OF WORK / �e/ tn ` J- ( ke S 76 3 /1/1)e(-0 (,t t ( e( - i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY pi W.R.E.C. <br /> 171 PLUMBING $ Qc <br /> 4.1 <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI "- <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I I NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I <br /> Address f License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY 7 [ �� ,/I %�p pG G� /ub/ / (/t C� <br /> SIGNATURE / REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 5 - 7- ? . �; a. // � /l/s ( License # efc /5/2. <br /> MECHANICAL / COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I 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 />