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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department <br /> Date Received <br /> / 111 <br /> Phone Contact for Permitting ( ) -- <br /> IIIIIIIiIIIIIl11il �1 11111111111 111111111 <br /> Owner's Name la �C /- 7�jT/l(�C�k' r�e Owner Phone Number R(..3 <br /> Cy .. <br /> y�j�._/ / r <br /> Owner's Address ..>6, ( / / /�(� C/G liyLJ [/ � Owner Phone Number <br /> Fee Simple Titleholder Name [.C / 1, Z; `} Owner Phone Number <br /> Fee Simple Titleholder Address 1 4r9/ --� CP . 4: j � -• - S__Z6 )Z <br /> JOB ADDRESS -2 f . Z . f / / / 64( ZV`J e � ll. LOT # <br /> SUBDIVISION PARCEL ID# . S -- --.Z__.5 --2_,( - ©/ - 25[ / <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I '/� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR r I COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME 1 I STEEL 1 I I I <br /> DESCRIPTION OF WORK .7;3 <br /> BUILDING SIZE SQ FOOTAGE /iZl9D HEIGHT <br /> (BUILDING $ C :? cCP2 VALUATION OF TOTAL CONSTRUCTION <br /> L <br /> (ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> I PLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 11 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO <br /> BUILDER �/ l / °� E /j, , % 1 ' c �� — <br /> SIGNATURE - i ' REG I S T ERED 1 Y / N 1 FEE CURREN I Y / N <br /> Address 2-2 5 - � � ZZ/� ,�-� �k License # + /.5t -- S 3 <br /> RI <br /> y <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 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 /> 1111111111111 lll11111IIt11111111ttII1111It1111111111I11I1I1111 lt,II1111111111111111111111 <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 />