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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department <br /> Date Received — 7--/(_,) <br /> Phone Contact for Permitting (_.) ( .3 2 g 0 _ 3 P-Z <br /> Owner's Name C. MoQ Pe-k inCh,�o I , `'r / c <br /> UUU Owne Phone Number �1 �7` 7 , a / 7 / <br /> Owner's Address I I Owner Phone Number <br /> Fee Simple Titleholder Name . I I I <br /> Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> rr ��� <br /> JOB ADDRESS 1 3'6 9 ? - 7 127' 6 I LOT # <br /> I <br /> SUBDIVISION 1 1 ; PARCEL ID #I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR I I AD /AL I I SIGN n I' DEMOLISH <br /> PROPOSED USE 1 1 SFR I I COMM I 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I ' BLOCK [ FRAME I 1 STEEL I—I 1 <br /> DESCRIPTION OF WORK 12_, T( Q k eA „ L 96,---K ( , / C e <br /> i FOOTAGE' / V I <br /> BUILDING SIZE 1 SQ f 0 0 d HEIGHT I I <br /> I 'BUILDING I$ I <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I'ELECTRICAL $ AMP SERVICE PROGRESS ENERGY <br /> I I 2 U O 1 I PROGR I 1 W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 'MECHANICAL I$ �� y <br /> VALUATION OF MECHANICAL INSTALLATION <br /> I 'GAS I' ROOFING 0 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS <br /> FLOOD ZONE AREA I 'YES NO <br /> BUILDER I I <br /> SIGNATURE I COMPANY I <br /> REGISTERED I Y/ N . 1 FEE CURREN I Y/ N I <br /> Address I 1 <br /> License # I I <br /> ELECTRICIAN <br /> ( 1 n e L C e c_ i ` L �t C <br /> SIGNATURE Oc4-_, COMPANY I On I <br /> h y REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I 1 `� �U7c 9 Z ( \Il�Cc( co `t, <br /> License # I 6 ( 3 O U i7 � ?) I <br /> PLUMBER I <br /> SIGNATURE I COMPANY ' <br /> REGISTERED I Y/ N I FEE CURREN l Y/ N I <br /> Address I 1 <br /> License # I I <br /> MECHANICAL I I <br /> SIGNATURE I COMPANY I <br /> REGISTERED l Y/ N j FEE CURREIN I Y/ N 1 <br /> Address ( 1 <br /> License # I i <br /> OTHER I I <br /> SIGNATURE I COMPANY I <br /> REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address <br /> License # I 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />