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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> / 0 1? 2 <br /> Date Received - 2 7 -10 Phone Contact for Permitting -- <br /> Owner's Name ;ASr ` J • ML iieUC1 Owner Phone Number `{/ i )- 114 k)t-5 <br /> Owner's Address 5222 J f fr i Owner Phone Number YJ f ? } qq ('/-11 3 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED (I NEW CONSTR n ADD /ALT 1 1 SIGN n n DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE I I SFR n COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK SD I FRAME 1 1 STEEL 1 1 <br /> DESCRIPTION OF WORK r 1 dq Ci 1't v - I 1; XZ -k - <br /> BUILDING SIZE SQ FOOTAGE 1542 HEIGHT (0 <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 'ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENER <br /> I PLUMBING t 51 5O <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> • <br /> I 1GAS I 1 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER )010Nb 14-VU/t - COM PANY } e �l e SIGNATURE � 4 '� <br /> REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/ N1 I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREIN I Y / N 1 <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 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 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 />