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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received "'my "ll «' Phone Contact for Permittin ' 7 -- ` 'I -7 7 7 <br /> Owner's Name 'P `- Owner Phone Number 73 20 -- <br /> Owner's Address Ly 57,490 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 6/09 C7 �S�o�l 3-�7e,.)— j y / /j /"7' k > 3 �4 LOT # <br /> SUBDIVISION PARCEL ID # � oi / OO 1 1' ° '� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT SIGN I I n DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE 1 1 SFR n COMM I I OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME I I STEEL I 1 1 <br /> DESCRIPTION OF WORK /1, c A > ! P (i -7 i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I (BUILDING 0:741 VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> 1 IPLUMBING $ <br /> 141MECHANICAL $ 7 / , r(if VALUATION OF MECHANICAL INSTALLATION <br /> 1 IGAS 1 1 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURREN I Y/ N1 I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N I <br /> Address License # l <br /> MECHANICAL �� / ✓ COMPANY ' �'� � V l� S - :// -,--- -) <br /> SIGNATURE ( ��/ �` Cam^ REGISTERED I Y / N I FEE CURREN I N <br /> 1 / <br /> Address / . 1/(7 % l ( < c � y / // � q , I =) ? ( cense # V( (9 > c ( 7 3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N I <br /> Address License # <br /> 1111111111111111111111111111111111Iltil111111111111111111111Itllitll1111111111111111111111111111111111111111111111111II II llllllliilllililtii <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 $7500) <br /> ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />