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813 - 780 -0020 City of Zephyrhills Permit Application n Fax- 813- 780 -0021 <br /> :( Building Department G <br /> Date Received Phone Contact for Permitting 35 52 -- q?' <br /> Owner's Name Pow, / 0 p er-t s Owner Phone Number r 13 g <931g <br /> Owner's Address Owner Phone Number D 1 3 '70 " 2 /.:2 / <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> /� `� Imo, <br /> JOB ADDRESS 5 g O g '(o rk sh i re r LOT # <br /> SUBDIVISION v W V Oc PARCEL ID# (0 - A ( p a i - Oa ° occo© o ttl <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Ei ADD /ALT 1 1 SIGN 1 I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 170 SFR 1 1- COMM I 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL 1 1 ye)....) <br /> DESCRIPTION OF WORK 0/ O± 4 f J S --ewt 3 �rU ). ) <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 1 PLUMBING $ <br /> 4 MECHANICAL $ 3 WO 00 VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 1 1 ROOFING 1 I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 'NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # 1 I <br /> MECHANICAL 4 I I COMPANY IS ( 1 / (�U WLpaif <br /> 1 <br /> SIGNATURE 1 (Lt' �1' REGISTERED I Y/ N 1 FEE CURRENT I Y / <br /> Address i 2 3 A LLS Li 3101 - DG License # CAC©5A5 ` S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 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 A/C Fences (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />