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813-780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 it 1 U q , <br /> Building Department <br /> Date Received ` %P D <br /> _ / one Contact for P • I • �T/ 1 0 / <br /> Owner's Name Q. ✓NLC7Y I K 'i - Z + 1 1 Owner Phone Number C 3 ©' �O �'id y <br /> Owner's Address 1I S w 1 I� 4 /'rr'o ( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address Co B ADDRESS / 7 2 � ` ; e44, Tea - ( / /� ( LOT # �y� <br /> SUBDIVISION PARCEL ID# 03 -,96 ,) I - O /g0 - 0000o -Oil C <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT ( 1 SIGN n n DEMOLISH <br /> INSTALL I 1 REPAIR <br /> 01 PROPOSED USE n SFR n COMM 1 1 OTHER " v , <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME 1 1 { STEEL n 1 .4,1 <br /> DESCRIPTION OF WORK a ce_- ' ( l` G ° Y 1 r Oc w Stl tM Q S i z t <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> IXIBUILDING $ / 9 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> nPLUMBING $ <br /> 1 !MECHANICAL $ • VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 NO <br /> 11111111 11111111111 11 <br /> BUILDER • i COMPANY lCl i�^'L ! 4 lYtfca 1 J - g - <br /> SIGNATURE REGISTERED y FEE CURREN ;i. <br /> Address 0 S.09 1,2J4--k S_ Q License# eBC it? CV 9 5 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N ! FEE CURREN 1 Y/ N 1 <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED l Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address I 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ! FEE CURREN l Y/ NI 1 <br /> Address License # I <br /> 1111111111111111111 111111111111111111111111111111111111111111111111 <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 /> – hl 1 1 1 1 1 1 1 1 1 1•• 1 1 1 1 1•••• 1 1 1 1•• 1•• 11 1•••• 1•• 1 .-I -F. <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 (PIot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />