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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Z) - � 5� - _ S s I Li C, 41 U <br /> Date Received ( Phone Contact for Permittin. "I - O60 <br /> • Owner's Name `C. C OU q r r Owner Phone Number ce 7 <br /> Owner's Address ' C \ V CJ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 Z ` 1 c) ��er,� � LOT # <br /> SUBDIVISION PARCEL ID# I - 1 ( b` Z 1 " 00 '16 -0(4,o O - 0 0 7 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRn ADD /ALT I I SIGN I I I I DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE n SFR El COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION 1 I BLOCK n FRAME I I STEEL I I I <br /> DESCRIPTION OF WORK I \(,.(t. �� ^ 5 \ \ \ \ aCAA e w ^C\ \„d^ rc c ✓ s � � 2 P Cs: r Sk 7C <br /> BUILDING SIZE SQ FOOTAGE, HEIGHT <br /> • V/ BUILDING $ rn l VAL ATI e 0 T O CONSTRUCTION <br /> 1 IELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> 1 (PLUMBING $ DDC-) <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> 1 IGAS Fl ROOFING I SPECIALTY 1 1 OTHER i L)' � <br /> 3 � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES Ni <br /> z7-4. nerd <br /> rya <br /> BUILDER /1 . 1 # � COMPANY 1-10., Pr U 1 ( o PV kJ <br /> SIGNATURE REGISTERED I Y/ N I FtE CURREI+ I Y/ N 1 <br /> Address I 3`1 0 '\ c) ,Old \, r ( r L `4 (T License # C C I L <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREIN I Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI\ 1 Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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-0-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 />