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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department '4063 <br /> Date Receive'd ` k 0 Phone Contact for Permitting U 13 tiCS -- `'. 9 <br /> Owner's Name 1 V■�.� P..1 `� ��J� - Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 7 <br /> JOB ADDRESS 5 — I 1 - 1 ��+ _ --R)l--\)1. LOT # <br /> SUBDIVISION PARCEL ID# ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> N WORK PROPOSED NEW CONSTR I I ADD/ALT f r-1 1 SIGN n MOVE I I DEMOLISH <br /> PROPOSED USE I I SFR I I COMM n OTHER 1 I <br /> TYPE OF CONSTRUCTION I BLOCK ( RAIV)E I STEEL OTHER <br /> DESCRIPTION OF WORK � 1 �� 6 (3 <br /> BUILDING SIZE I )( '-1 SQ FOOTAGE QS HEIGHT <br /> Ii ] BUILDING $ ' _ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY Li W.R.E.C. <br /> , 4 t 0 ) <br /> I PLUMBING $ <br /> b2 _'e:1 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION la c ri-C R E ( <br /> T <br /> I <br /> GAS 1 1 ROOFING I I SPECIALTY n OTHER / ' '— CO Tit r J <br /> FINISHED FLOOR ELEVATIONS FLQOD ZONE AREA 1 IYES LINO <br /> 1 <br /> '- arikk t <br /> 1 �a <br /> BUILDER .' COMPANY ‘ ''' b‘ (0 N6 I ZZI...}` N er") <br /> RE GISTERED I Y/ N 1 <br /> SIGNATUR � FEE CURRENT I Y/N �-� _ � <br /> Address (v ( S 4- ,b_3 License # I I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 1 License # I <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 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />