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813 -780 -0020 City of Zephyrhills Permit Application A. vi , Fax-813-780-0021 <br /> Building Department (; 3 n <br /> . �, \ti q+s <br /> Date Received - , - - / <br /> Phone Contact for Vermitting <br /> Owner's Name . S 4 L A / A ; di ng Owner Phone Number 2/ - ,gA /3 9 <br /> Owner's Address c6 --Z :5 _ 7 ��i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> // f /�/ 1 <br /> JOB ADDRESS �(O a C� d 11 S� -1- 7� v ' . fi r Ir /r ∎ � # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN 1 I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR Fjt!a COMM 1 1 OTHER (' <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 111111 FRAME ` . I STEEL 1 1 1 OTHER 1 <br /> DESCRIPTION OF WORK 4,-.1. � � � ` I/��/ <br /> BUILDING SIZE i / 3 SQ FOOTAGE 5'o HEIGHT I 1 ( / t '14�`k% 0 'Q`e <br /> I I BUILDING $ q „, ` --g <br /> � J VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE <br /> I I PROGRESS ENERGY I I W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> • <br /> GAS I 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 1NO <br /> BUILDER I <br /> S GNATURE (, - 'I� f _ j�C� 1 COMPANY GI ERED I Y/ N 11 FEE CURRENT I Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURRENT I Y/ N I <br /> Address License # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # P <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 1 <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fo 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) 1 <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />