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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received <br /> "" / 3 - 0 ,',p "�' Phone Contact for Permitting • <br /> Owner's Name t` t�1� \TVA^ F C1-t Owner Phone Number ° 613 - 7 - ?/ / <br /> Owner's Address ( 0 t ' �(n� S I Owner Phone Number <br /> 2- <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS �- j t ` A v LOT # <br /> SUBDIVISION PARCEL ID# 1L;_ 2 6' 21 ^ c.,%* j " —c t -- c: All <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> K WORK PROPOSED NEW CONSTR ADD /ALT SIGN 1 1 n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR n COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK n FRAME 1 I STEEL 1 1 I <br /> DESCRIPTION OF WORK .. - . 0-1(- - RE \ ( <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> _ . ... <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION 17 r <br /> l <br /> 7 4SLECTRICAL $�� y (�-. AMP SERVICE j., PROGRESS ENERGY Ili2, W.R.E.C. <br /> 1 IPLUMBING $ <br /> • <br /> 7 ' <br /> 1 I MECHANICAL <br /> $ VALUATION OF MECHANICAL INSTALLATION 1 j <br /> 1 'GAS 1 1 ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN -- COMPANY / 24 ,11 Lof-i r O - <br /> SIGNATURE Valli <br /> .� REGISTERED I Y/ N 1 FEE CURREN p/ N I <br /> A. <br /> Address re 6,, �_ / , _ L „ License # 6• aC)6/ 5 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURREN 1 Y/ N I <br /> Address License # I <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />