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813 - 780 -0020 City of Zephyrhills Permit Application ' ()‘21 Fax-813-780-0021 <br /> Building Department ) <br /> Date Received ' i O i 0 Phone Contact for Permittin ∎ O V <br /> Owner's Name O wner Phone ` u m .er / _ r f <br /> 67 <br /> Owner's Address –5; <br /> // .XM Owner Phone Number <br /> Fee Simple Titleholder Name fia974 41,;11, Owner Phone Number I <br /> Fee Simple Titleholder Address -� // ` ./. <br /> PJ' 3\�� <br /> JOB ADDRESS 5 7 p I _ .I 4 € . � /C- LOT # I 19+- <br /> /f/f'�� 11 oo /Q -- 0 -3To0 -®1941 <br /> SUBDIVISION ������ M��'�q` PARCEL ID# <br /> j (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 1 1 DEMOLISH <br /> INSTALL REPAIR .- ,,�� <br /> PROPOSED USE I I SFR 1 1 COMM I I OTHER 1 l 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL 1 , 1 1 1 <br /> DESCRIPTION OF WORK r L® ',/ /L� ✓ ,--C �-'` Athl C2-1 <br /> BUILDING SIZE )4///C1 SQ FOOTAGE I 7 tT 4 1 1 HEIGHT / 1 `/T <br /> 1 'BUILDING $ �Y /� VALUATION OF TOTAL CONSTRUCTION a Z / 2. L'9- OO <br /> 'ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> (PLUMBING $ <br /> 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 'GAS 1 1 ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES NO <br /> BUILDER ' / i I OMPANY C// /�-1 t ---- <br /> SIGNATURE L; AP REGISTERED 1 / N FEE CURREN I Y / N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED l Y / N 1 FEE CURREN 1 Y / N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED l Y/ N 1 FEE CURREN 1 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 # 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 requ (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 />