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813 - 780 -0020 City of Zephyrhills Permit Applicatio Fax -813- 780 -0021 <br /> Building Department <br /> Date Received J ' I Phone Contact for Permittin . 502 -- Go • <br /> Owner's Name L E C PC7 CIL 4 "f U0PV't -L- Owner Phone Number <br /> Owner's Address / 1 ( G4 (L / [,-1 . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS f 1 fg C4 j / FJ J), LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 1U ADD /ALT 1 1 SIGN 1 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 1 1 COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION n BLOCK In .. FRAME ( 1 STEEL <br /> DESCRIPTION OF WORK ? P,?/// 6y46.03r Dc/6 ok.) R.RNG <br /> BUILDING SIZE _ SQFQDTA6E HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ]ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY n W.R.E.C. <br /> 'PLUMBING $ 2 e4 <br /> - FiNI;.e ( 2) (c `- - <br /> MECHANICAL $ C ov VALUATION OF MECHANICAL INSTALLATION <br /> 00 D e 0c t <br /> GAS 1 1 ROOFING n SPECIALTY 1 (7- 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN i Y/ N i <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN i Y/ N i <br /> Address License # <br /> MECHANICAL COMPANY C 17LUS cast r" M6 <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/ N <br /> Address License # CScao9yg <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />