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813 - 780 -0020 City of Zephyrhills Permit Application <br /> Building Department > 16 yaq <br /> Date Received '/V Phone Contact for Permittin e — <br /> Owner's Name W1 / 1 i F / pip Owner Phone Number g 7 g $ -zs ?O? <br /> Owner's Address 3 zei3 / /4/4.1 nv _ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS c 3 ? ' ya / 1 ,L1 / u e Z •e p h9 r lit 1 Is a ;IS (/ .2 LOT # <br /> SUBDIVISION PARCEL ID# f / — tA f — / ` a6` 6 - Q /740- Q 66461 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR In COMM I I OTHER I A np f 2 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK [ FRAME I I STEEL n I <br /> DESCRIPTION OF WORK ef t^ i4 on - Dez.rna g <br /> BUILDING SIZE SQ FOOTAGE 1 • HEIGHT / iR , <br /> RN& BUILDING $ !j 4/DO * p D <br /> VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1GAS [ ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO <br /> BUILDER 1 ") el COMPANY f r Gy1 e e W e7 "r <br /> SIGNATURE REGISTERED Y/ N 7 FEE CURREI I Y/ N I <br /> Address 38`/Y/ 1‘/11i i¢vc -Au' License# 4/4)n e <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURREIN I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREP I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRE' I Y/ N I <br /> Address <br /> 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREt 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 required. (AIC upgrades over $7500) <br /> ** Agent (for the contractor) or Power of Attomey (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 />