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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department /v. �/0 <br /> Date Received Phone Contact for Permitting TTTT ���' ( -- T • <br /> IIIIIIIIIIII11111c / , <br /> Owner's Name 2VA yr /! id � 4 / a—LC. caner Phone Number <br /> Owner's Address / 2J3 Ip a khief 'vim DK._ Owner Phone Number <br /> Fee Simple Titleholder Name _6460 -7 2 ,4,f14. 7" ` Owner Phone Number <br /> a' 7 <br /> Fee Simple Titleholder Address �(, <br /> JOB ADDRESS 13 d . &YP v I . e- 1 02— LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I 1 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL 1 I 1 <br /> DESCRIPTION OF WORK M I y� 1 � e 1 u' s -n ), wyc -1,Li <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> IIIIIIIIItIItt H <br /> (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 IELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> PLUMBING $ (.000.0o <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS 1 1 ROOFING I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED [ Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y / N 1 <br /> Address p, License # <br /> PLUMBER ` /f) v L COMPANY 01 ( V�E.1 � Cll (---t-C-‘ SIGNATURE REGISTERED I Y / N I FEE CURREN` Y/ N I <br /> Address I050t1) f 1.1.11 altlAi e". L'1"1l1 " "�"� License # l.--f'i--)'T1p <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <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 /> IIIIIIIIl1111111111111111l1111IltIIl1111111111IIIllI11l11IIIIIl111111111t H (III 111111I 111Il1I11111t111111IItttlllltltlllllltlltll <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 />