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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department ,Ji / b ( <br /> Date Received •--- L ` Phone Contact for Permitting _ . i -- y�� <br /> Owner's Name .�`I, I `r� Owner Phone Number * o , .' r � <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS % \ \ , ' -- 6. 4 + 2 � As .t 3 .-- LOT # <br /> ` <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I ] ADD /ALT I SIGN 1 I I I DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE SFR I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION BLOCK pi FRAME I 1 STEEL 1 1 1 I <br /> 1 <br /> DESCRIPTION OF WORK C.... \€c.\ C.r \c- tir-.. pt n , �D _ hige�iL'CY <br /> BUILDING SIZE L SQ FOOTAGE 1 a Q HEIGHT <br /> (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ILECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> a c.,,,,,Nc) i <br /> I " (PLUMBING $ 'j 61/UoC/V <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION fA y .4/IP <br /> 2) /� <br /> l� <br /> 1 (GAS I 1 ROOFING n SPECIALTY I 1 OTHER ( 6 4/ �' . Gl2 ✓Y1, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO 7 - - <br /> BUILDER COMPANY �� C %� COMT REGISTERED I (�� / N 1 FEE (1',..„1..--7 <br /> E CURRE I ' /1 �l >�� <br /> SIGNATURE � �\ �e �„ /� RED Y / N � FEF Y / N <br /> Address License # <br /> ELECTRICIAN " �� COMPANY .T' 5 Cf�cC <br /> SIGNATURE ,`-j� : 11■61. REGISTERED ( Y / N 1 FEE CURREN I Y / N 1 <br /> Address ` „lw.V„'4 ` C _ / C..1 License # E— - )2-5 <br /> isom■•••mmom r7 <br /> . �� ' " . <br /> PLUMBER <br /> SIGNATURE _ - : -ar REGISTERED I Y / N FEE CURREt' I Y / N I <br /> -.... <br /> Address Sgtc�_ License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # f <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <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 />