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�✓ i/ <br /> 813-780 -0020 City of Zephyrhills Permit Application ‘ / � • Fax- 813 - 780 -0021 n <br /> Building Department (fr'� / f� j / �n �� Lv <br /> Date Received / F h �j 4 , Cr <br /> a <br /> 41 Phone Co , tact for Permitting 4 " 1 -- ©/ 6 0 / " mat <br /> . <br /> Owner's Name awe tZMIMINE = 0 IRA - - hone Number �i <br /> Owner's Address � �'� ' 'k J y 1 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I,�`r <br /> JOB ADDRESS 1� ate', .f. • . it1, , ~ I,W <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Kt ADD /ALT n SIGN n MOVE DEMOLISH N ^ <br /> INSTALL •!i REPAIR ,omaci L <br /> PROPOSED USE n SFR Ili COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK I FRAME n STEEL n OTHER <br /> DESCRIPTION OF WORK ATEDOMMINf 1 Cr <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> n BUILDING ID ^ f 0 , O P VALUATION OF TOTAL CONSTRUCTION <br /> I /� ( ELECTRICAL $ , 1 IVJ. A�� AMP SERVICE I1 PROGRESS ENERGY I W.R.E.C. <br /> n PLUMBING Y in1M11111 <br /> n MECHANICAL A VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING n SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS , il FLOOD ZONE AREA InYES InNO <br /> B [ y' Air • ( • 17 COMPANY Fl / • u5 / C <br /> REGISTERED sum FEE CURRENT �l l , r Y / N G <br /> Address ^ �'� ii License # C p � c o 6 / �/ T l 4i <br /> ELECTRICIAN ri / y� OMPANY <br /> SIGNATURE T REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> // License # <br /> PLUMBER /� COMPANY <br /> • <br /> SIGNATURE r� REGISTERED i Y/ N I FEE CURRENT i Y/ N <br /> Address I 1 <br /> I License # <br /> MECHANICAL 'n ( /�__ <br /> SIGNATURE �r l,� COMPANY <br /> REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address <br /> n ^ License # <br /> OTHER f 1 COMPANY <br /> SIGNATURE 111 REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address I <br /> 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 $5000) <br /> " Agent (for the contractor) or Power of Attomey (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 />