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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department t V u <br /> Date Received ' Phone Contact for Permitting -- <br /> 11111111111 <br /> Owner's Name G aA.0) 4 �. Owner Phone Number ` 7 77 - 1 ) <br /> Owner's Address t 0 j / ' Me � 5 Owner Phone Number <br /> c <br /> Fee Simple Titleholder Name ce2 L/2 F L 4Z Owner Phone Number <br /> Fee Simple Titleholder Address 6 A l ! 4/WY( .17 <br /> JOB ADDRESS ' ‘;'O r ' /(�� LOT # <br /> SUBDIVISION Oat PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Ld ADD /ALT I I SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK /PE7N--4 [ j /9M / f/l c 9 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN <br /> COMPANY /-(O/1? (x) / 6-72_ <br /> SIGNATURE � REGISTERED I Y/ N II FEE CURRENT I Y / N I <br /> Address (] V1 1 tc• License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED l Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N r 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 />