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813 -780 -0020 City of Zephyrhills Permit Application <br /> Building Department frivol' 4 <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name GOSS , L Owner Phone Number <br /> (OnV - •• b 4t . -"i- `�� "<< I Owner Phone Number I <br /> Owner's Address I <br /> Fee Simple Titleholder Hamel <br /> Owner Phone Number I <br /> Fee Simple Titleholder Address I I <br /> I 7 i'I S 6 . 9. , P �. LOT # <br /> JOB ADDRESS <br /> SUBDIVISION I I PARCEL ID #I • <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ADD /ALT I I SIGN n MOVE Q DEMOLISH <br /> WORK PROPOSED I J NEW CONSTR ./� <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL 1 1 OTHER I I <br /> DESCRIPTION OF WORK 1 ke. L. 4.. <br /> (. Iv ` ` ~ 1°k��i I <br /> BUILDING SIZE I I SQ FOOTAGE I I HEIGHT 1 ( <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ 3 OO,QO <br /> AMP SERVICE I 1 PROGRESS ENERGY I W.R.E.C, <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES nNO <br /> BUILDER <br /> COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # 1 I <br /> ELECTRICIAN ( �n COMPANY kC4e- � ✓ <br /> �` ( ''' c I <br /> SIGNATURE ,. • _ _ _ REGISTERED I Y / N I FEE CURRENT Y / N <br /> (� n . <br /> Address p`'• �� ��� 4b�- Z—(,,,:i.c. I:L. 31S 3 License # ae 13 00135) I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I I <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 required. (A/C upgrades over $5000) <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 Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />