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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received f - 2 4 - 1 0 Phone Contact for Permittin. 8 t3 Z (o -- <br /> Owner's Name . �.�.N .a3 N N -C C . Owner Phone Number / l v " 1 CLk 2f <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address C <br /> JOB ADDRESS 5 � S I A LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR IF1 ADD /ALT I I SIGN f] n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR ® COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION ® BLOCK I I FRAME I I STEEL I-1 I I <br /> DESCRIPTION OF WORK A 4A, r ^+tt+. -` t 3 C.), - ip j��` �flo.a� 5 :t a�C Acy 61\■•• , (ACu't, 4 01 - <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 41//// <br /> (ELECTRICAL IiiIIIMME1111 AMP SERVICE" :` I I PROGRESS ENERGY I I W.R.E.C. <br /> (PLUMBING $ 1111 p9 t Cpc-e)Accu-r <br /> 1 (MECHANICAL $ Y ' UATION OF MECHANICAL INSTALLATION I SL1 <br /> t- s ^ <br /> �j <br /> nGAS I 1 ROOFING [ SPECIALTY I I OTHER c �CerrLi 9 H <br /> (p <br /> to <br /> FINISHED FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO r <br /> QGt. hfi , ?5 "i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY � rG F D QAu NvbT� l� , �a ✓�QA. <br /> SIGNATURE / \ REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address License # I C F 1, 1'{ 2111 I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />