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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> Date Receive / �� <br /> _ / Phone Contact for Permitting <br /> Owner's Name t R' f (4 j,1 J I o. /A .<d Owner Phone Number <br /> Owner's Address ✓ � 7 (L( 14,2 2' (`)� Owner Phone Number <br /> Fee Simple Titleholder Namel Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS f/ �' ? 'o? Q,4443--‘6/2_ LOT # [ �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR h COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK ` FRAME n STEEL I OTHER I 1 <br /> DESCRIPTION OF WORK V /4/ /9 C/ 4 (,Q /l40))19 (,t 71/1 AI L 0/C) fps <br /> BUILDING SIZE SQ FOOTAGE 1 HEIGHT <br /> Fi BUILDING $ Q O <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY <br /> 1 PLUMBING $ , - 1 <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 0 1611/ <br /> I GAS 1 I ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES nNo <br /> BUILDER COMPANY (/ O SIGNATURE . I Y / N I FEE CURRENT I Y / N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 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 />