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813- 780 -0020 City of Zephyrhills Permit Application i t ( v Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name -5 /t4af Owner Phone Number � — is t -02 t <br /> Owner's Address .573'' / yam' 5/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address C / /l <br /> JOB ADDRESS 5 7 ?� ��' LOT # <br /> SUBDIVISION PARCEL ID# / / Z l -2/- vO /O - 0 7 • 1 2 -oo (A <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK �! I n FRAME 1 1 STEEL <br /> DESCRIPTION OF WORK L4 / ' eA4/ 1 D - ; i Sii/014 lsC4 Au" 2 7L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 'PLUMBING $ <br /> FO $ / b6 2 VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 I ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . 1 FEE CURREN 1 Y/ N 1 <br /> Address l License # J <br /> MECHANICAL COMPANY 4 / 6 . fPA✓zeS 1 e <br /> SIGNATURE REGISTERED Y/ N 1 FEE CURREN 1 Y/ Ni 1 <br /> Address /$227 � .Crv1c , /4 ✓,Q License # r '0 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 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 /> 11111111111111111111111111111111111111111111111111111111111111 H 111111111111111111111111111111111111111111111111111111111111111t1111111111111 <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 />