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813 - 780 -0020 City of Zephyrhills Permit Application Fax 813- 780 -0021 <br /> d( e <br /> Building Department V ° <br /> Date Received Phone Contact for Permitting 1 -- <br /> IlIIIII111iii1111G j. <br /> Owner's Name 1 A.x"^' Ld S aw.R o C G 0 SS a N <br /> % --aumber <br /> c e u dt, <br /> Owner's Address j 0 I) Z 1V S 6 S tom., "y-D,, 4D & -To„ Owner Phone Number <br /> 3 [ 33a/7 3 78. <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address 3 3 ( 2 <br /> JOB ADDRESS S D 2 C � � C Q l r /�, LOT # <br /> SUBDIVISION i '€ . e.. vi I ktjr -' PARCEL ID# 1 0 Z� - 2- -w - 0 lob' 690 <br /> U (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN I I I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I t -1 - SFR 1 I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK n FRAME 1 1 STEEL I I <br /> DESCRIPTION OF WORK C7o <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ ^� AMP SERVICE I PROGRESS ENERGY I 1 W.R.E.C. <br /> IPLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (GAS I 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN ,{ �, COMPANY P P ° OS ; I ' C -N( ' <br /> SIGNATURE (Act 1 REGISTERED I Y/ N I FEE CURREN <br /> / I Y/ N I <br /> / e )V� <br /> Address 6 N (Act f `5+ �i 4A '23 D t License # �(�! o <br /> PLUMBER P COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURREN 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 /> Illllllllllllllllllttlllltlllllllllllllltllllll lllll llllllllll tIIIIIIIIIIIIIIIIIIIItIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItt llllllllll <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is requ (A/C upgrades over $7500) <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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />