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813 - 780 -0020 City of Zephyrhills Permit Application 1 6,31 ') Fax -813- 780 -0021 <br /> Building Department <br /> Date Received 4', /4 6 Phone Contact for Permitting -- <br /> 1 1 1 1 1 1 1 1 1 1 11 1 1 1 LW! <br /> Owner's Name I M-12. c3 k•'k 4 / 4 � Owner Phone Number <br /> ■ <br /> Owner's Address 7 /. Z xi ?Ire Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3g 3 5 -4- 5 qoc) lq J (° LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN I ! 1 MOVE I 1 DEMOLISH <br /> I STALL REPAIR <br /> PROPOSED USE SFR ( 1 COMM 1 OTHER 1 <br /> TYPE OF CONSTRUCTION l ".---BLOCK 1 1 FRAME 1 1 STEEL 1 OTHER 1 <br /> DESCRIPTION OF WORK Resp(GC C i tiA4A 6 J Oct ( 41. ( el ( Se -2 a-vct <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 1 1 W.R.E.0 <br /> Y50 C1 ' 1 PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES 1 1NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN 1 c(465 <br /> SIGNATURE / (/C1 `4 c REGISTERED 1 Y/ N 1 FEE CURRENT 1 YHA 1 <br /> _8( <br /> Address 5s (, License # �C —oc) z <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 11 FEE CURRENT 1 Y/ N 1 <br /> Address License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <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 />