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313 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received 4 Phone Contact for Permitting — <br /> Owner's Name '.* +`� 0 t.., 4 Owner Phone Number ' 1 - 1 )1 1 041 <br /> Owner's Address f 1)2 `V �2V It1 V1 In , Owner Phone Number <br /> Fee Simple Titleholder Name `J Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V 2.10 EvcIty to . Zeph 335Lj 2 LOT# <br /> SUBDIVISION l PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 1 1 COMM 1 I OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK I FRAME I I STEEL n OTHER <br /> DESCRIPTION OF WORK 1 1 Tr&,'ie . 17 I n TN V I H t2 . k.o.nli sph` h -� � Ot tMv y Oitt <br /> BUILDING SIZE SQ FOOTAGE HEIGHT _ J <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> ( I PLUMBING $ <br /> MECHANICAL $ 00 VALUATION OF MECHANICAL INSTALLATION <br /> F GAS n ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES [NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N . 1 FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> MECHANICAL , COMPANY ' j r- 1 0 - <br /> SIGNATURE ( ' /1&ioft$ 1YI REGISTERED A EE CURRENT I Y/ N I <br /> Address 5D Hr) 1(0 Ave ephI,�(iIl' 1 �"'IZ License# C,' Tj <br /> R`I`7 ( !(Q <br /> OTHER ✓ COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />