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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department ,i/'� f O4 2 <br /> Date Received ��-� 1 <br /> Phone Contact for Permittin s -- <br /> Owner's Name / 77/e-,44.0L S ' e t ee-A4 <br /> Owner Phone Number O W - 70 � = 5 `/p , 60 <br /> Owner's Address 6 V /7 rit 'S / Owner Phone Number <br /> Fee Simple Titleholder Name \ __.. - -- Owner Phone Number <br /> Fee Simple Titleholder ress <br /> JOB ADDRESS f LOT# <br /> SUBDIVISION PARCEL ‘# 26. / - / 1 - v010 l 3 0o D i 0 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR n COMM ( 1 OTHER <br /> TYPE OF CONSTRUCTION I 1 BLOCK n FRAME ( 1 STEEL n I <br /> DESCRIPTION OF WORK //2/5"7::1X I/ 44, U( Oil -- �,.,, e 6 3 /' T CK e.D <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $5 O 0. Gc(:) VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL <br /> $ AMP SERVICE I 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 IGAS 1 1 ROOFING n SPECIALTY ( 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER !` COMPANY 1/ f�' 4 7.(00`( L•2_ <br /> SIGNATURE j REGISTERED 1 Y/ N i FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURREN 1 Y/ N 1 <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address 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 $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 />