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813- 780 -0020 City of Zephyrhills Permit Application <br /> 1 rax -t3 1 J- r nu -uuz l <br /> ( Building Department t Q) r f <br /> t <br /> Date Received Phone Contact for Permitting 20 ( a1 -- ►_ � I <br /> `l 1 ` <br /> Owner's Name .V Il �- ) c (A O wner Phone Number 1 J 1 ✓ <br /> Owner's Address I b t f 5 L S I v 0 5 s -(- 0 -- I Owner Phone Number I I <br /> I <br /> Fee Simple Titleholder Name( <br /> Owner Phone Number I <br /> I <br /> Fee Simple Titleholder Address I <br /> V� I LOT # I i 11 I <br /> JOB ADDR ESS I <br /> SUBDIVISION I' C/ � C PARCELID# � - al �O I w h t U 11 11 Va�S I I 15- -- Dk -D%\_ Di U(T (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT i' j SIG 1 1 MOVE I ' DEMOLISH <br /> I INSTALL REPAIR r <br /> PROPOSED USE CKI SFR <br /> COMM I ' OTHER I <br /> TYPE OF CONSTRUCTION CK1 BLOCK ' I FRAME 1 1 STEEL ' ' OTHER' I <br /> DESCRIPTION OF WORK Y C. X `1 (..)--)( S.; ` `VI 631 I <br /> BUILDING SIZE SQ FOOTAGE 1 04C-0 I HEIGHT I I <br /> ■••• - <br /> BUILDING 0 $ 5 t - -j r� VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ l V AMP SERVICE ( 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> PLUMBING $ 1 � ' ' MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0 , CAi rtiL li / <br /> GAS JX ROOFING I 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 (NO <br /> T. - i <br /> BUILDER C I I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY I I <br /> SIGNATURE REGISTERED • I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # 1 I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER / COMPANY 1`' ' - t • \` <br /> 5 1i.'I/1- TITT It ``" A. &Milk. REGISTERED MEM FEE CURRENT gli <br /> Address 7 iCjy P S (4 11 W fk • <br /> 1 it S 5 SS-4 License it ( CCU ( 505 <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 /> iilitli HIIltit till <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 />