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813 -780 -0020 City of Zephyrhills Permit Application <br /> Fax - 813 - 780 -0021 <br /> Building Department <br /> P+ r3 qi7 ! �'$7 <br /> Date Received //-41-1 Q Pho a Contact for Permit " g_... <br /> r� - <br /> Owner's Name sky P1 # ' - 61' 7 Owner Phone Number <br /> Owner's Address I n / sk P 1 -cl' G1€ I Owner Phone Number l 1 <br /> d� "h l 1( r <br /> Fee Simple Titleholder Namel Owner Phone Number I <br /> Fee Simple Titleholder Address I I I <br /> JOB ADDRESS 1 4g ( -Si t " �l\ )(t I LOT# I <br /> PARCEL ID#1 I <br /> SUBDIVISION I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED t)j�I NEW CONSTR l ADD /ALT 1 I SIGN 1 I MOVE I DEMOLISH <br /> T INSTALL I REPAIR <br /> PROPOSED USE 1 I SFR I I COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL ( I / OOTTHER I J- I <br /> OF WORK l/ - ,�.4 co - )(10.a. - 5,,ItitkICK B 1 t ) '( 'IL I <br /> DESCRIPTION I 2/ 4 F <br /> BUILDING SIZE 1 I SQ FOOTAGE I I HEIGHT I I <br /> I I BUILDING $ g 3 LL / * � VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ <br /> 1 1 1 AMP SERVICE I I PROGRESS ENERGY 1 I W.R.E.C. <br /> I I PLUMBING I$ I <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 NO <br /> COMPANY I I <br /> SIGNATURE BUILDER REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> I <br /> Address License # 1 <br /> ELECTRICIAN COMPANY I I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # 1 I <br /> PLUMBER COMPANY 1 I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I I <br /> MECHANICAL COMPANY 1 I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address _ License # I I <br /> e., we t( s $'� �iaif 5 ' — I I <br /> OTHER COMPANY <br /> SIGNATURE / JJJJ� �pc ® REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> ss <br /> Addre <br /> •3 Ie ) l 1 / 1 Af , 93‘ t Y License # 1 EP 3.B 400 1 /-3 4 7 1 I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Budding 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 $5000) <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 Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />