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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> • <br /> Date Received 4 -''-' Phone Contact for Permitting 0 7 1 -- <br /> Owner's Name L - 5,4 / t P �/ e /'Z (� Owner Phone Number <br /> Owner's Address ,_•t� l /16 rl YJ /T i f'C 1J re._ Owner Phone Number <br /> Fee Simple Titleholder Name --- Owner Phone Number <br /> Fee Simple Titleholder Addres <br /> JOB ADDRESS 3 7 V/ y p e/ s ,4-c O2 LOT # <br /> SUBDIVISION Jeo e, ,M -to PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR I 1 COMM 1 I OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME n STEEL n OTHER I I <br /> DESCRIPTION OF WORK 1-- 1 C C' c / -‹41 <br /> /.� <br /> BUILDING SIZE SQ FOOTAGE ` HEIGHT <br /> ------ BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS EN <br /> 1 � W.R.E.C. <br /> I 1 PLUMBING $ <br /> b� <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES pi il <br /> SIGNATURE N %4(ll �► 6r, ROMP AN <br /> REGISTERED I Y�N FEE C URNT // 1 / N 1 <br /> Address 4 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y 1 N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I 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 />