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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department 1 D 40 <br /> Date .Received [ gyp - Z t- to Phone Contact for Permitting .— -- - ",---- -.-'.. <br /> r Owner's Name ba,)1 L V . Q I ox s U iv, Owner Phone Numb r 8l?) - -3aS "4 3 ( • <br /> - <br /> /Owner's Address ( "11 '-)., ine11) )Dd I--Q fl Owner Phone Number . -., <br /> Fee Simple Titleholder Name , bo o k L]> V •' l C X S U In Owner Phone Number <br /> Fee Simple Titleholder Address 1 1 1 T "NI Zt.)\ Lt)$ i N + 2. }k-1 1 IS <br /> JOB ADDRESS :') 9� 1 %.- in e f )\ Dd�> b. ( ^-t' OP i I4- t IS • LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n 1 1 DEMOLISH <br /> �?C INSTALL REPAIR <br /> I PROPOSED USE I SFR n COMM I I OTHER 1 P DOI— I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME li‘gg - f STEEL n I I <br /> x (DESCRIPTION OF WORK 1 4 t klVe c Dew( ^io N . eUU\-- - 'II- 1 . t) N, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 (BUILDING $ ).,' { a , L 10 VALUATION OF TOTAL CONSTRUCTION <br /> I (ELECTRICAL $ AMP SERVICE [ PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ CD SjjP( ri fo.' / �� <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C) h 4 r e/ Y S( G 1 (GAS n ROOFING n SPECIALTY 1 1 OTHER , e ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO � / <br /> -. IIN <br /> - <br /> BUILDER , COMPANY , l¢¢��1 (, <br /> SIGNATURE , `- REGISTERED YY / "` FEE CU R 1 Y / N <br /> Address 1 - 41,(, 1 License # <br /> `ELECTRICIAN Jh COMPANY 1 5 14 ""'`r <br /> SIGNATURE . i A`J 4 _ v REGISTERED Y/ FEE CURREN 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N J FEE CURREN 1 Y/ N 1 <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address 1 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 required. (A/C upgrades over $7500) <br /> ** Agent (for the contractor) or Power of Attomey (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 />