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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> • Building Department <br /> Date Received A� ��/ Phone Contact for Permittin. -- <br /> Owner's Name 4 4/ 1 1 N10 Ste "/ Owner Phone Number <br /> Owner's Address 31099 ',alit l die Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address 4 <br /> JOB ADDRESS l O VV M/ / 19k, LOT # <br /> SUBDIVISION PARCEL ID# 1 02 V — 11 00 S — po /k D'Ofi <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I El DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK n FRAME I 1 STEEL I 1 I I <br /> DESCRIPTION OF WORK £ 121 O'- 49 c/Ott/.4- 5J <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ .3 J Z- D 0 ` s•-•" VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ / AMP SERVICE 1 1 PROGRESS ENERGY n W.RE.C. <br /> IPLUMBING $ n L� ?� <br /> /v <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO <br /> (GAS Ira ROOFING n SPECIALTY 1 1 OTHER ( 17 16) <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI. 1 Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address I 1 License # 1 <br /> OTHER COMPANY 49(//W ZPa� / - " <br /> SIGNATURE " REGISTERED i Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address f o b( 7x 130 tN& ei f / GG License # AL 00 4/ <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. (NC 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 />