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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department (v C j <br /> Date Received / r A — -- 0 4 ((0--i Phone Contact far Permitting • <br /> Owner's Name 01 L A. A D Pkg. ( f0 Owner Phone Number l) C> 2. - 6 P5 - 7C 1 3 - 6 <br /> Owner's Address 0-0' s 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ( I 35 .-(L_ j <br /> /� <br /> LOT # <br /> SUBDIVISION Z. k€_. V {' E PARCEL ID# O o� n QLc O \ c-(0 000°0 ONO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I' — I SIGN I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE M] SFR I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION NIE BLOCK fl FRAME I 1 STEEL n 1 I <br /> DESCRIPTION OF WORK CZ) (.-3 t-'L1Dfl.,_) 5 R I. 'faR- SrzE._ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Dg BUILDING $ t VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ � AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> 1 IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION e t P Ja.(4_ <br /> 2 2 <br /> 1 (GAS 1 1 ROOFING I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> t <br /> BUILDER \ 'y vt <br /> p COMPANY I ..)•---) ) '�0 � SIGNATURE REGISTERED 1 \Y N I FEE CURREI 1 Y/ N 1 <br /> Address 6 .) 3 /i\`'1 C 12 ( , J License # C O /3 (l. I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRE1 I Y/ N 1 <br /> Address , License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 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 /> 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 $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 />