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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department 4 ( 66 <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name 6 \ g- J ir �N Owner Phone Number S ` C1 -Zs '" <br /> Owner's Address 1. 5 1 '' ' " I N ` Q Owner Phone Number <br /> Fee Simple Titleholder Name Ui S — 61ASC CAA, Owner Phone Number <br /> Fee Simple Titleholder Address I c <br /> JOB ADDRESS ��51 3S 1-44- /�J &7' 2-(A (-" ("S roL OV� I _\ LOT # (' l; <br /> SUBDIVISION ( +- PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I I STEEL I' I I <br /> DESCRIPTION OF WORK - clI c r, ti 1 -k - � 1 v Pl e x- (4 Q r-Ci F <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 'BUILDING $ (P C.2) _ I V � VALUATION OF TOTAL CONSTRUCTION <br /> 'ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I ( W.R.E.C. <br /> (PLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING I I SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ' (YES NO <br /> BUILDER C COMPANY ) Vt e OAh — <br /> SIGNATURE REGISTERED [ Y/ N 1 FEE CURREI I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY • <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREIN 1 Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREIN ' Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREIN 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 /> 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 />