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813 -780 -0020 City of Zephyrhills Permit Application d Fax -813- 780 -0021 <br /> Building Department J�� 1 I J <br /> Date Received • t - D Phone Contact for Permittin e 4:51/ 3 - ! <br /> Owner's Name - C 11'f t 4 k V ✓t') Owner Phone Number /3 9 7 <br /> Owner's Address -.// 5.-02 I s Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / 15;1-14 � J ^ 471 <br /> JOB ADDRESS 7 4R 7 LOT # <br /> SUBDIVISION PARCEL ID# �^ ���a l —�©�� (t-O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CoNSTR ADD /ALT 1 1 SIGN 1 1 1 DEMOLISH <br /> INSTALL W REPAIR <br /> PROPOSED USE 1 1 SFR n COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME 1 I STEEL I 1 I <br /> DESCRIPTION OF WORK / " /k( S 1- 04' G"G TO hr?' 64.. <br /> BUILDING SIZE / X SQ FOOTAGE / 0 HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS I ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> 4.1 <br /> yri G,D S <br /> BUILDER ' wiwA\ t C OMPANY C e j($ C7 L ,(7�T+ � ,Q c. Q SIGNATURE REGISTERED Y / N FEE CURREN I / N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN i Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I 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 />