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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department etc676 <br /> • <br /> Date Received �•=:Z 5 /0 Phone Contact for Permitting < 3 f- <br /> r <br /> Owner's Name d A { / 1I 1 I L L r Owner Phone Number q/ 75 Fill 1 79' <br /> Owner's Address C _ f J S ! - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 7 r <br /> - LOT # <br /> SUBDIVISION PARCEL ID# t 1 "22 r te' � /D-n 0f3 j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED MI NEW CONSTR n ADD /ALT I I SIGN I f 1 1 DEMOLISH <br /> R INSTALL I I REPAIR <br /> PROPOSED USE NI SFR ri COMM 1 OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK in FRAME I I STEEL 1 I I <br /> DESCRIPTION OF WORK / S 7 4 Lc , S Yt `'aJ3 j <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ . 1c / T IO VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> I PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS I I ROOFING n SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES NO <br /> �Wiiiiiii��'Wliiiiiiiilil.:WYAi IF <br /> / <br /> BUILDER / • 1j • 4 COMPANY I'- H <br /> SIGNATURE REGISTERED I Y / N j FEE CURREF I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y / N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREtN 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURREt' I Y/ N 1 <br /> Address License # <br /> i- H H FHIIIIlllllillllllilllllillllllllllillllllililllllllllllllllllillllllillllllllllllt111111111111111111111111111111111111111111H -H-H-H+1 <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />