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813 - 780 -0020 City of Zephyrhills Permit Application C/l d Fax -813- 780 -0021 <br /> Building Department l.3Ye <br /> r ' <br /> Date Received Phone Contact for Permitting -- <br /> 111111111111111114 / <br /> Owner's Name ,4/2,7L /4-x Owner Phone Number S/ 3 - J / 5 0_5"Z._ <br /> Owner's Address 3 765 2 /Att.} /7on.s-'zc .. 5 /ttve Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS _54 h! L LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I ' SFR 1 ' COMM I ' OTHER 1 ' <br /> TYPE OF CONSTRUCTION I 1 BLOCK ' 1 FRAME 1 ' STEEL [ 1 I 1 <br /> DESCRIPTION OF WORK j -e-/Z. C L'7-2fq L .41/4___ L/ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ' 'BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 IELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 'PLUMBING $ <br /> MECHANICAL $ 93 r 8 VALUATION OF MECHANICAL INSTALLATION <br /> 1 'GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREI. I Y/ N I <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 Zp /7/2 S /"/ /4 . G U4,5 Q /VG <br /> SIGNATURE V REGISTERED 1 Y / N 1 FEE L'URREP I Y/ N I <br /> Address L/V yl A /rte � --, License # C4 4 - 6 .37 7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 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 />