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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Recewed Hails Phone Contact for Permittin . -- <br /> Owner's Name � w._ /TlS Owner Phone Number <br /> Owner's Address L6 2/ KO ( / D " . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6 L/ /corPo0x_ 44 . LOT # <br /> SUBDIVISION $ /L I/ /je. (90r PARCEL ID# 03 -Z6 - 2/ --0/z0 mod - (42a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT ( I SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 COMM ( I OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I .'✓ . / I FRAME STEEL n <br /> DESCRIPTION OF WORK /�' 1000#// ` 2-SO <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 BUILDING $ i 19 VALUATION OF TOTAL CONSTRUCTION <br /> 1 'ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 PLUMBING $ <br /> (-MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS �� ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 1YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED ( Y/ N I FEE CURREI. I Y/ N <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREIN I Y/ N i <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURREIN I Y/ N <br /> Address License # I <br /> OTHER �- COMPANY r�4r/'N to CV%, <br /> SIGNATURE /►/�'' REGISTERED 1 Y/ N 1 FEE CURREN � Y/ N <br /> Address PO QP 130 License # e ©0 V6.24// <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />