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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received !' 1— /0 Phone Contact for Permitting <br /> Owner's Name R 0 ..a../2..r ! - , L F ,1 / C Owner Phone Number <br /> Owner's Address 3 ? 3S c e- - R- f-- S%- 6 G 7 2 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,_0 k73,- 5 3, -fi ( / , LOT # <br /> SUBDIVISION 66 PARCEL ID# ///O/&/75o d 0/0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR ADD /ALT I 1 SIGN I ! I MOVE 1 1 DEMOLISH <br /> 1 INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL 11 OTHER I <br /> DESCRIPTION OF WORK to ' P U C F E � — <br /> BUILDING SIZE SQ FOOTAGE /O U F r HEIGHT C , V C <br /> ES BUILDING $ j <br /> G30 d U , O O VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY W.R.E <br /> r� <br /> PLUMBING $ / ��.. <br /> 1 ' <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING I 1 SPECIALTY I OTHER * v e <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES I — I NO , <br /> BUILDER (� COMPANY 4)/C % v `,/ ,C / � / �,2 / J' fS / /--/ C= <br /> SIGNATURE L�-'L REGISTERED I Y/ N I' FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I I FEE CURRENT 1 Y 1 N 1 <br /> Address I <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y / N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1' FEE CURRENT I Y/ N I <br /> Address I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . I FEE CURRENT 1 Y/ N I <br /> Address , License # F <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 fetter 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 />