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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin — <br /> Owner's Name g b C cc y `-V G t G✓ t c k 7 Owner Phone Number <br /> Owner's Address f 5i lv /r1 f Z I tls Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS a C) ( 1 h 5+ 2 I, l 1 s 3 3 s Va LOT # <br /> SUBDIVISION PARCEL ID# // — 2-6 ` Z-1 - G0 (CT - 0-7 (0 0 0 - U / <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN I I MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM ( 1 OTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME n STEEL ( 1 OTHER 1 <br /> DESCRIPTION OF WORK "- t.A. Gt L !4 6 A 1 ! ! / -e I! -, / S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 3 0 ac- VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> 1 PLUMBING $ h <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO !� <br /> GAS ROOFING I 1 SPECIALTY n OTHER l! <br /> FINISHED FLOOR ELEVATIO S FLOOD ZONE AREA I]YES [NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I <br /> Address I 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address ( License # <br /> OTHER / COMPANY J` ` ` , z 'At <br /> SIGNATURE ! REGISTERED I Y / N I FEE CURRENT I %r / N I <br /> Address � PD d3 Pk /f Jqh AIL AA,. % 3 3Si`I License # Cc 7 5S 7 <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 />