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813-780-0020 0 ,_ � City of Zephyrhills Permit Application c� la Fax -813- 780 -0021 1 / 7 Building Department --/`' 5 l\ <br /> Cam <br /> Date Received / <br /> -r if Phone Contact for Permittin • , __ :-- <br /> Owner's Name /< <, _ / ' Owner Phone Number 1/ 3 22 / <br /> � / <br /> Owner's Address L�f� �� � `!l � Owner Phone Number .'3 -0 fU/ <br /> Fee Simple Titleholder Name - -- -- -'_"`.. Owner Phone Number <br /> Fee Simple Titleholder Address_.- <br /> < 1IIB,AU0R $S i_. -2-cD (SF J - .,3� 7 -r, '�l�' LOT # <br /> r <br /> SUBDIVISION PARCEL ID# +% <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 I 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR n COMM I 1 OTHER I I <br /> TYPE OF CONSTRUCTION In BLOCK I FRA I 1 STEEL I I 1 I <br /> DESCRIPTION OF WORK /0 >4- ; <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Kg BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL i $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 IGAS I 1 ROOFING I] SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> D; <br /> i $ <br /> BUILDER �, �� COMPANY d' <br /> SIGNATURE 1�� /- - _ „ A �L REGISTERED I Y/ N FEE C REN I Y / N 1 <br /> Address P , License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREIN 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREI 1 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 r'3 Ri; .I r'13;w; ti.. <br /> � r <br /> irM 4 $111.( , k (: <br /> Si C+, 1t f!s112 f>ru"x <br /> 7 <br /> 0.A ttfitN4 Ito:!otti ±il %,1' taGr18 <br />