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813- 780 -0020 City of Zephyrhills Permit Application , Fax -813- 780 -0021 <br /> Building Department _ ,,,:�� r 1(a ! !� <br /> 0 -.r 1 V 1 0 y - 7 C ) t/'� ,�� <br /> Date Received t U <br /> (/ v v Phone Contact for Permitting � � 77 /� �7 <br /> Owner's Name ' 15 • Ili � �r .- - r2 r J Owner Phone Number & ,?7`7 ,k../ C / <br /> Owner's Address _55'S 7 5 7 ' Owner Phone Number <br /> Fee Simple Titleholder Name 14 \Q &rf u (.9s LLO__ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS —}J l CJ LOT # <br /> SUBDIVISION PARCEL ID# 1 - .2 (r - Z ) - 001 0 - o,.; 900 0 /575 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Ij ADD /ALT ( I SIGN I 1 n DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE I 1 SFR IZ., COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I 1 BLOCK {1 FRAME I 1 STEEL F 1 I I <br /> DESCRIPTION OF WORK .4 , o ) •" `p4 0 / x 23 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ ` t) 0 0 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ G D AMP SERVICE U I I PROGRESS ENERGY n W.R.E.C. <br /> 1 IPLUMBING $ <br /> 1 i ®pbC., <br /> M ECHANICAL $ / r, 0 VALUATION I ECHANICAL INSTALLATION r j Cc G <br /> 1 IGAS 1 1 ROOFING I-I SPECIALTY r ---..-- OTHER l/ r ---..-- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1) <br /> U ' <br /> t - J <br /> BUILDER t ) COMPANY � ' <br /> SIGNATUR 7 REGISTERED ' Y / N FEE CURREN 1 Y/ N I <br /> Address AP" `( i lvd ' License # (.. gv f z 5 49 7 <br /> ELECTRICIAN � � COMPANY ✓ � ...1644)C (4-/c-C._ SIGNATURE qk �� j . REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address ( License # /- � 002 ..-- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED , L Y/ N 1 FEE CURREN l Y/ N I <br /> Address Q , License # <br /> MECHANICAL I` � ` 'k 1 MPANY <br /> SIGNATURE 1i 4e Y\J REGISTERED � Y/ N 1 FEE CURREN i Y/ N i <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 />