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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> j—� Building Department <br /> Date Received <br /> l rT' <br /> Phone Contact for Permitting 1 __ <br /> Owner's Name .4 Gk- 5 Owner Phone Number <br /> 4 /( -1 S I� / v . f <br /> I <br /> Owner's Address �l` E�1.`X°a.�, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS & a 1 lai) LIC 6 ( n2, eu5ebt -v. oC,(4.s je LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR I I ADD /ALT I I SIGN 1 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I 1 COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I I STEEL 1 I OTHER 1 <br /> DESCRIPTION OF WORK �0A-,5` , P0/ e . 4JiA `et/ ck es <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE l0U �"'"/-- PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ ,/f1 <br /> ME CHANICAL *0 1�r!' <br /> I I $ VALUATION OF MECHANICAL INSTALLATIO <br /> I I GAS 1 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES I INO <br /> BUILDER <br /> COMPANY <br /> SIGNATURE <br /> REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN ` ��� 4 COMPANY r U " d'. <br /> 4 �a S L (r' ✓C - <br /> SIGNATURE <br /> REGISTERED 1 Y/ N I I FEE CURRENT I Y/ N I <br /> Address ! 7 64i( 8 License # alC — Ce° " 27-7c7 <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 I Y/ N I I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I 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 tor 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. (NC 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 />