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813-780-0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department 0S v p <br /> Date Received 411 l !7 i �� __ <br /> v` Phone Contact for Permitting 9 ,_). a __ 0 2 ya <br /> Owner's Name ii kir Owner Phone Number <br /> / <br /> Owner's Address ,3 0 /3.5" /72/t2.kEl7 5 ) f Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> t 35 ,,,,,//)) 7 <br /> JOB ADDRESS . .1 8/.f -3 // RK ` % j - LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I 1 I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I 1 FRAME 1 I STEEL I I I I <br /> DESCRIPTION OF WORK .- . - ' ' r/ I)F /Y '7 Cj -V (L RE..." . i 0 F i7)RQ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Fi $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS I I ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER � COMPANY Dr 5 l T 7jV74 !J 7, Ls-.) G <br /> SIGNATURE / C-- C L REGISTERED 1N 1 FEE CURREN I Y / N I <br /> Address 2 3 6 (o 3 ,r 4/4/1:14 n 11 L License # e & ` / / 5 <br /> 3 I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURREN I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 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 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 />