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813-780 -0020 City of Zephyrhills Permit Application <br /> Fax - 813 - 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> IIIIIIIIIIIII1ILLIl! • <br /> Owner's Name ✓ SrrVii: 2 Owner Phone Number <br /> I Owner Phone Number I I <br /> 37Vt9 0 �� uLt .. 3 M / ,c,L A <br /> Owner's Address I (. -' <br /> Fee Simple Titleholder Namel <br /> I Owner Phone Number I <br /> I I <br /> Fee Simple Titleholder Address I <br /> �WO J P/ t11..CM MILL Al/t..-7 I LOT# I <br /> JOB ADDRESS I � J <br /> -0 o -0€ 000 - 000 <br /> SUBDIVISION <br /> 1 �) t- V�12 �,z s v Ll A6e1 ( PARCEL ID #, 0 - b -a d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR I ADD /ALT ' ' SIGN ' ' MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE <br /> SFR I COMM I I OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I FRAME 1 I STEEL 11 OTHER 1 1 <br /> di ? <br /> DESCRIPTION OF WORK V it/ . ' re____ # ' lir /-7fiei(E7-1 I <br /> I I G HEIGHT O <br /> BUILDING SIZE SQ FOOTAGE / <br /> �—� r � J , I <br /> l l BUILDING I$ / � J I VALUATION OF TOTAL CONSTRUCTION <br /> ��(' / PROGRES ENERGY I 1 W.R.E.C, <br /> 1 1 I I ELECTRICAL $ AMP SERVICE I I G � r o., ( �`� N FL- �4 <br /> PLUMBING $ / / IPbf'_ <br /> !! <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLAT <br /> I 1 GAS I I ROOFING I 1 SPECIALTY I 1 OTHER (, H � <br /> FINISHED FLOOR ELEVATIONS f I FLOOD ZONE AREA ' 'YES 1 INO (f <br /> COMPANY <br /> SIGNATURE BUILDER / [ f i 1`1,� W NT Y / N <br /> NATURE 'i l/ I � � 1V ' VV ✓ " RERED Y N � i <br /> Address License # <br /> ELECTRICIAN COMPANY I, <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address I License # I <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # I <br /> OTHER COMPANY I <br /> SIGNATURE l REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address I I License # I <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 />