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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received – J – :� 0/D Phone Contact for Permitting -- <br /> Owner's Name 73-''2 & 3 WI 4 46/ Owner Phone Number <br /> Owner's Address '3 0 //s S S vt Owner Phone Number <br /> Fee Simple Titleholder Name, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> /} Tf� <br /> JOB ADDRESS 3 0 p !/ S S v LOT # <br /> SUBDIVISION PARCEL ID# i/ ✓ Z / `0 0 /® -i V5 O- /oa <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL I OTHER I <br /> n <br /> DESCRIPTION OF WORK r� - /C. 00 70, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ !^ / 00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I W.R.E.C. <br /> PLUMBING $ 4 fO r 7 <br /> I ( MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 14` ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES ONO <br /> BUILDER cl G , COMPANY , V i �C �- 1A-1' <br /> SIGNATURE / �_— REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address Po Le ?C. 1 3b.2 I' 1-I6 -" (' f (// 1 License # , C_. O 0 / 6L 71 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I YIN I <br /> Address License # <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 # F <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 />