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813 -780 -0020 City of Zephyrhills Permit Application <br /> rax- tsis- rau -uuz 1 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> I 1 11 111 1 I I I I 1 I'1 illy Q ' _ _ 7 7 7( <br /> Owner's Name <br /> 00( ��h J �'4 c Owner Phone Number ! I <br /> `� oi . vi n n i <br /> Owner's Address / � 5 2_ L 1 � < < + f ace Owner Phone Number <br /> Fee Simple Titleholder Name' <br /> Owner Phone Number I I <br /> I <br /> Fee Simple Titleholder Address I 1 I <br /> I S G f LOT # <br /> JOB ADDRESS l I <br /> SUBDIVISION I I PARCEL ID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR REPAIR <br /> PROPOSED SIGN n MOVE n DEMOLISH <br /> I I INSTALL i <br /> PROPOSED USE ( ( <br /> SFR 1 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION 1 ( BLOCK ( ( FRAME I ( STEEL 1 1 OTHER <br /> DESCRIPTION OF WORK (/ / /I C (/ v 4 - (.A l ; )/ O , /- flea4-Awe 7. <br /> BUILDING SIZE I 1 SQ FOOTAGE HEIGHT 1 I <br /> 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ( ( ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 ( W.R.E.C. <br /> ( ( PLUMBING $ <br /> 1 1 MECHANICAL $ j l C, k /1 VALUATION OF MECHANICAL INSTALLATION <br /> ( 1 GAS 1 1 ROOFING I ( SPECIALTY ( ( OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ( IYES []NO <br /> BUILDER COMPANY 1 I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # I I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # I <br /> MECHANICAL Z,,7r;t60. S ze/ r6 COMPANY fi -L I 17N ( /l) / i ( a / / 'I Y / N ( ' r <br /> SIGNATURE / //✓ l l . J <br /> qs7 ( A"(9&c/. License # V/ I C 0 S 7 ` <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # I <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 compiiance <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 />