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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting -- <br /> Owner's Name S i A U ofY 1� j <br /> . W` �-L1. Y � 1 . I e Owner Phone Number 23 I 3 /19 g 2 <br /> Owner's Address 109 l` (a )Lei ecS t' (.) -% Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ` 1( O cztC� re s-t uJ c A J �7 e ki F( 3 42 LOT # <br /> SUBDIVISION PARCEL ID# v J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I] SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 tj SFR 1 I COMM I OTHER 1 <br /> TYPE OF CONSTRUCTION I BLOCK / 1 1 FRAME 1 1 STEEL pi OTHER 1 I <br /> DESCRIPTION OF WORK Tc / `Ie `7 h 1 N HIP s p 1 -s J /S4-e- Yl <br /> BUILDING SIZE SQ FOOTAGE 1 HEIGHT � `�' y <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I W.R.E.C. <br /> I I PLUMBING $ <br /> I-I MECHANICAL $ ( � (> O VALUATION OF MECHANICAL INSTALLATION <br /> k1/( <br /> I 1 GAS I 1 ROOFING 1 1 SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURRENT 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N 1 <br /> Address License # I <br /> MECHANICAL l _ f /� COMPANY TO-, w IvL(' SIG NATURE t,II REGISTERED Y / N J FEE CURRENT Y / N I <br /> Address 331 I Li fl 16 4-o V ` 2`.-p l- `v 315L(2j License # (40 . ?IL( (c ( c <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 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 />