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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> Building Department <br /> Date Received g .' / — 70 <br /> 1 1 1 1 1 1 1 1 1 I 1 I I I I L L L V Phone Contact for Permitting <br /> Owner's Name : t . ,J A /2/ : _r � i._ Z <br /> Owner Phone Number g/3 - 788 y,t; J <br /> /' VI4 <br /> Owner's Address (9 8 7 S7"f,% CA-4-3 /4 7,4 Owner Phone Number <br /> Fee Simple Titleholder Name / Owner Phone Number <br /> Fee Simple Titleholder Address S Aim L <br /> JOB ADDRESS 3 /• t L LOT # <br /> SUBDIVISION .5 x y i / z 04 4 5 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I 1 SIGN 1 I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 11 OTHER I <br /> TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME 1 1 STEEL 1 1 OTHER <br /> DESCRIPTION OF WORK 1. /7` £it/ P / /L4.44./7 C C'L/7 <br /> BUILDING SIZE r SQ FOOTAGE HEIGHT <br /> 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL <br /> r AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> PLUMBING $ L ( ` / 2 90 <br /> Cer MECHANICAL $ p� VALUATION OF MECHANICAL INSTA LI 4.0___________" <br /> GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> ............. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 I NO <br /> 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL V COMPANY C3Ai ff� S / ".td ... (�/F'f 1 <br /> e i c <br /> SIGNATURE A 4 <br /> REGISTERED 1 Y/ N FEE CURRENT 1 Y/ <br /> Address License # /)7C 6 y,2 9 !/8 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 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 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 /> i <br />