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213 -780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780-0U21 <br /> Building Department <br /> Date Received 0 -7 t 0 Phone Contact for Permitting S13 2'70 -- e>q 3 <br /> Owner's Name P/"l <br /> //� 6 S O N Owner Phone Number S13 % - 6103 <br /> 1 <br /> Owner's Address 1 1 L 4 T. Owner Phone Number 1 <br /> Fee Simple Titleholder Namel <br /> Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I Sratw► I LOT# I <br /> SUBDIVISION 1 I PARCEL ID#1 • <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I ADD /ALT I I SIGN ( I MOVE I DEMOLISH <br /> I I I INSTALL REPAIR <br /> PROPOSED USE 1 1 <br /> SFR I I COMM n OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME I I STEEL I OTHER I I <br /> DESCRIPTION OF WORK 1 t'' .---- 4(C c d,6 Dv I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY El W.R.E.C. <br /> I 1 PLUMBING $ 4 / v <br /> ( ( <br /> MECHANICAL $ /„ t 1Q0 , c7„�- VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> • <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> MECHANIC COMPANY 4 `/ tf �i' <br /> SIGNATUR REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 580-/ 7 [ (r A .Z4 gs / 3359 License# �4L/,D yl <br /> OTHER COMPANY • <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I 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 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 />