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813-780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department (0 Date Received Phone Contact for Permitting -- <br /> • <br /> Owner's Name I/1 e t Owner Phone Number ea - -/�.3_2- ('O <br /> Owner's Address 3q IO 3I D Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I I COMM I I OTHER Ii I <br /> TYPE OF CONSTRUCTION I 1 J/ BLOCK L I I FRAME I I STEEL I I OTHER I I <br /> /btu <br /> DESCRIPTION OF WORK , 4C7 6 4.4 e(.4 0 , L i i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 9 / (r'10 VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ / AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.0 <br /> I I PLUMBING $ <br /> MECHANICAL <br /> $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS I I ROOFING I 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES I1No <br /> BUILDER <br /> LAERRE COMPANY •4c, i <br /> B - . ct <br /> REGISTERED I Y / N I FEE CURRENT 1 Y N <br /> Address 4 /o f11 f'7': 2(pir /I ;4 I (, 3.),s (Z License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N j! FEE CURRENT 1 Y/ N I <br /> Address ( License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 ! , FEE CURRENT I Y/ N 1 <br /> Address <br /> 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/ NI 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 />