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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> , , q_-.,- /&- <br /> _ _ <br /> Date Rece __ wa <br /> . ie. Phone Contact for Permitting - p <br /> Owner's Name \I r� Mil Owner Phone Number a7o � �7 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name J Owner Phone Number <br /> Fee Simple Titleholder Address <br /> j _,..- - <br /> JOB ADDRESS 1// )4,;L-eST - •J LOT # <br /> SUBDIVISION 4 / _2 - / <br /> D - L% // L' < ` C ' 6 6 -/ e, . L <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Ell NEW CONSTR ADD /ALT I I SIGN I I n DEMOLISH <br /> `I INSTALL I I REPAIR <br /> PROPOSED USE ME SFR LI COMM 1 I OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I-1 FRAME I I STEEL n J_ I I <br /> DESCRIPTION OF WORK 2 t r �j� <br /> � /Cr / »;r L - n c-%J /0[L' / 6,i/ / <br /> BUILDING SIZE SQ FOOTAGE HEIGHT (i / <br /> iFalgUILDING $ gW)C'' VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> 1 IPLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION -- r7L- <br /> ' <br /> 1 IGAS 1 1 ROOFING I-1 SPECIALTY I 1 OTHER 4 1/ q <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO �� ' t <br /> BUILDER / / COMPANY - t ��[� C/2 /n J ��l/L. <br /> SIGNATURE i / p REGISTERED / N FEE CUR EA I Y/ N I•! <br /> Address X $ / _y 'ooc+ Dr 1" Q d 41 ft slroly License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ I4 I <br /> - <br /> Address I 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 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 if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not ov Counter on public roadways needs ROW <br /> • <br /> °" +ts'at9t' s �str- .:,,,t "" " -, ,r"4� , w, ^r.a <br />