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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department /0 <br /> Date Received Phone Contact for Permitting � " 72? _570 <br /> =. <br /> Owner's Name 1� L L /v Owner Phone Number 7/9 - t; 3,r g <br /> Owner's Address ---?U / 7- h 4 v£ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# 11- Z - 21 - t')D, ( d — o(z -- 11 S G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 I pi DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 COMM 1 OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 FRAME I I STEEL 1 1 1 <br /> DESCRIPTION OF WORK g t <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE [1 PROGRESS ENERGY n W.R.E.C. <br /> 1 (PLUMBING $ <br /> MECHANICAL $ 39 r �e VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS n ] ROOFING f SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> MECHANICAL `� COMPANY k42_ !//�v - C � 4J' p - , �0�C <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN Y/ N I <br /> Address yyr, /7f " , ,C7 Z — /////c License # (� " ' C/,3? - P <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/ N 1 <br /> Address License # <br /> • <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 />