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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department (65 <br /> Date Rec'feived ,,2 -- /f) Phone Contact for Permitting -- <br /> V-w _ l <br /> 1 S a , 1p0 9 V L Owner Phone Number 8)1- - 7 5)-- / S3 g (bo �/ <br /> Owner's Name { r <br /> 6 1 I &9 7 <br /> Owner's Address ? / t v l� J Owner Phone Number 3i - - 7 / - `7 5'7 Li ( fie) '\ <br /> Fee Simple Titleholder Name Owner Phone Number SI 3 - 7/,3 - c b 5 � <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS > (-1 CI A-'l.K . LOT # 1 4 <br /> SUBDIVISION phC.�i( ia It x PARCEL ID# 1 1..'Z LQ - 2- O) I) - CC)I0() -- Oi'— <br /> J (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 1 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ( 1 SFR 1 1 COMM 1 1 OTHER 1 PDOL <br /> TYPE OF CONSTRUCTION I BLOCK 1 1 FRAME ,� 1 ^ 1 STEEL 1 1 1 <br /> DESCRIPTION OF WORK �la- oJJ l 2 L <br /> 5L am' ` o �' �� � ' � 1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> aA BUILDING $ ✓23oc, vc- VALUATION OF TOTAL CONSTRUCTION <br /> 1 'ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 'PLUMBING $ <br /> 1 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 'GAS 1 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO <br /> BUILDER :0, COMPANY ✓ / IG�Y -tC)(TKN�L SIGNATURE(;�L REGISTERED ' Y/ N 1 FEE CURREN 1 Y/ N 1 <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 I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN l Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address I 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 /> IIIIIIIIt11111111111111111111111111111W1Hi H11H HIIIIHH H1H111111H11111H - HIIIIHi11111HtIH - H - Hl f <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 />