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813 - 780 -0020 City of Zephyrhills Permit Application eI hl57 Fax -813- 780 -0021 <br /> Building Department 1 l,� <br /> Date Received <br /> � 1 Phone Contact for Permitting -- G <br /> Owner's Name c/' vs �� LC Owner Phone Number '4g13 4-g(, 3)60 <br /> Owner's Address 3 g 5 4- . Z ! )v"7_ <br /> Owner Phone Number <br /> Fee Simple Titleholder Name VOL C.A-5 � f k c -& Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> 3`2 439 C /\,)_. LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN ® MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I I COMM I I OTHER I 1 <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I 1 STEEL 1 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK Lt cif ' Q.S r , <br /> BUILDING SIZE .7 OM SQ FOOTAGE HEIGHT 3(:.) f <br /> 1 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL <br /> IrS AMP SERVICE ( I PROGRESS ENERGY 1 I W.R.E.CI I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> I I GAS 1 1 ROOFING I I SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 f' ES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE s — REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N I <br /> Address L # <br /> ELECTRICIAN <br /> COMPANY al o- it pa <br /> SIGNATURE ( ��' !�� REGISTERED I Y / N j FEE CURRENT 1 Y / N 1 <br /> Address ,S (c�- (M I ,f License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N . ! , FEE CURRENT I Y/ N I <br /> Address 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 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 />