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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department 4 # - /d70 3 <br /> Date Received - `3- /IP <br /> Phone Contact for Permittin. -- <br /> � nn Q+ — - <br /> r� Q 7� '� <br /> XOwner's Name 1 t Le � e Owner Phone umber O 1 "s - < v ? - '"L ' _„,, <br /> )(Owner's Address l.Y 4-3 v y\ C 1 Owner Phone Number <br /> Fee Simple Titleholder Name ( Owner Phone Number <br /> Fee Simple Titleholder Address <br /> /JOB ADDRESS (0 l 4 S 13 A R s t C t' Z (P1(•r 1A1 I \ S Ft - LOT # <br /> SUBDIVISION C 1 V t v� , OA A PARCEL ID#1 /_,O, -. , l — ( — C' e.:'e - )` //7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ) PROPOSED Il NEW CONSTR n ADD /ALT 1 1 SIGN n In DEMOLISH <br /> INSTALL I ' REPAIR <br /> PROPOSED USE n SFR r-7 COMM [ I OTHER I <br /> TYPE OF CONSTRUCTION 1 1 _ BLOCK n FRAME [ I STEEL n 1 I <br /> X DESCRIPTION OF WORK ,k BLOCK <br /> As t A\\ -, VJ ft 6 A (3 ) 1 , R K Q <br /> BUILDING SIZE SQ FOOTAGE 1 4 D O HEIGHT <br /> - - - - - • - - - - - - - - - - - -- - - - - - 1 <br /> )' 1 IBUILDING $ ‘ \) .% ` b 0 VALUATION OF TOTAL CONSTRUCTION <br /> I (ELECTRICAL $ `T AMP SERVICE I 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> 1 1MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS n ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> XBUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURREN I Y/ N I <br /> Address License # I <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 1 FEE CURREN 1 Y/ N 1 <br /> Address License # 1 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 1,7. i9 (/ ° License # <br /> OTHER di / COMPANY (..,--7)4--)2_,- SIGNATURE I iW, I�, // ' � i /,, REGISTERED Y / N I FEE CURREN 1 Y / N 1 <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 Attomey (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 />