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813-780 -0020 City of Zephyrhills Permit Application (c) �R I Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name <br /> L of ✓� v S ' Owner Phone Number 7 7 ' <br /> rte. <br /> Owner's Address y 7 � y 1-"A d /f, � ( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS '7/ ' G- 4- (ran S LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [J SFR COMM I 1 OTHER 1 <br /> TYPE OF CONSTRUCTION 1 BLOCK I I FRAME n / STEEL I OTHER I I <br /> DESCRIPTION OF WORK () AC– "C1-642p-<,e... cJ U 3 t 11//' � //l q L��` l $ Ci - 57"A- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY II W.R.E.C. <br /> I 1 PLUMBING $ <br /> MECHANICAL $ S 5� "� VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS I I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES FIN() <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN 1 FEE CURRENT I Y/ N I <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address 1 License # <br /> MECHANICAL i / / COMPANY I S c��'F.,�� /ir /9-74)-- 4 ( ' I <br /> SIGNATURE / `�'� REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address ` I License# C ,2 ' � G /Z7 � 9/7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />