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813-780-0020 City of Zephyrhills Permit Application " em O + 1 780-0021 <br /> Building Department T 6/ (Q <br /> k <br /> # 1 °I1DI <br /> Date Received Y l' /C Phone Contact for Permitti r WIII , <br /> I11111TT rem. <br /> r . <br /> Owner's Name ' , .1 �,ff Owner Phone Number ♦ ^i -4 <br /> Owners Address I Z6 6,444 L L j/ 0 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address I j <br /> JOB ADDRESS /,62 /? <br /> 0 [ ,(^,L L II !� LOT # I <br /> SUBDIVISION 1 PARCEL ID# I U Z - Z � ' OO I O . b 3 9 t ' > - � ' / b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT 1 SIGN [j (J DEMOLISH <br /> y'� INSTALL REPAIR <br /> PROPOSED USE n SFR 0 COMM ( 1 OTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME 1 1 STEEL n <br /> DESCRIPTION OF WORK I - NS 6 0-C #.4h r �i3DD <br /> BUILDING SIZE I 1 SQ FOOTAGE I HEIGHT I <br /> BUILDING I$ VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL I$ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> nPLLIMBING I$ cZ 7gN <br /> MECHANICAL I$ J yZ S C VALUATION OF MECHANICAL INSTALLATION ` N^ n <br /> /� R' <br /> =GAS n ROOFING n SPECIALTY [] OTHER V t ti.-°- <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA nYES NO ® 1' ' <br /> BUILDER COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y 1 N 1 <br /> Address I License* <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address I License # 1 <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address ( ,/ /f License # <br /> MECHANICAL �}_ _ ) L A (//,[ COMPANY I J ( '? S C AL. <br /> SIGNATURE J/� ��/ REGISTERED (�.1 N N 1 FEE c e� URREn Q N �y <br /> Address I License* R C Do 2 9 8 5 <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address I License # <br /> I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 I 1 1 1 1 1 1 1 1 1 1 <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) wonting days after submittal date. Required ante, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Pennil 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 /> 1•I 1 1 1 1 <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. (NC 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 />