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813 - 780 -0020 City of Zephyrhills Permit Application Fax 81 780 - 0021 <br /> Building Department 4 16€(6( <br /> / <br /> Date Received Phone Contact for Permitting – <br /> Owner's Name 1j 111M1 ■ Owner Phone Number L3 q0O <br /> Owner's Address 3703 y 6 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / y �, <br /> JOB ADDRESS Vn (V <br /> 1 03 ?- � "` AAA- LOT # <br /> SUBDIVISION PARCEL ID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 1 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK �' I 1 FRAME I 1 STEEL n ` OTHER 1 <br /> DESCRIPTION OF WORK L_ _ 36'-q l IN - 1 7 " e / (v '7L cum ' i e - <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 I BUILDING $ ¢' S 00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ --1 AMP SERVICE I f PROGRESS ENERGY n W.R.E.C, <br /> F PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 11 GAS 11 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nNO <br /> BUILDER �;/ COMPANY 711 0 Uvi9 Y <br /> SIGNATURE '7 REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />