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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Receiv Phone Contact for Permitting -- <br /> 11i11f11111111111i <br /> �/� <br /> Owner's Name r�,/ ►'! :11. :I. C n4/ ST Owner Phone Number 779 -ao3c <br /> Owner's Address 6 22 7 /-le.-4/7,�-.-7 7(;),-v Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> LOT # <br /> JOB ADDRESS / / <br /> SUBDIVISION ,5 e L ci zsC- (24/ 3 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR ADD /ALT SIGN I I 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I I STEEL <br /> � I' 1 I <br /> DESCRIPTION OF WORK ,*Q 4- ./ 7 7- "q./.1-77 / ro "/ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 'BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 'ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I ' W.R.E.C. <br /> 1 'PLUMBING $ <br /> MECHANICAL $ (qG� — VALUATION OF MECHANICAL INSTALLATION <br /> 1 IGAS I' ROOFING 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <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 .�'41ii� 1 / ��C/ i i ‘;f-r - e A // <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURREN ' Y / N 1 <br /> Address ( 7 " / V( 4 Aru IC/ / Z-!7 !/ /� /5 License # CrYC a 1._. 9 7S' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />