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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department , i L ' �3 <br /> t <br /> Date Received Q — 0 Phone Contact for Permitting / /3 rri -- e ' F <br /> Owner's Name 72 S'I 'c r TYie ' Owner Phone Number p 13" 7/ . (age <br /> Owner's Address 49 • f a a ' Owner Phone Number y — 7/ 7 ,- (6 icAr <br /> Fee Simple Titleholder Name Owner Phone Number 0 1 - 7/ / <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 y- 1 3' S,f LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I i SIGN 1 1 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ( 1 SFR 1 COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION 1 BLOCK n FRAME I 1 STEEL 1 1 1 i <br /> DESCRIPTION OF WORK W I • CL) Ge <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ ^rp �1 VALUATION OF TOTAL CONSTRUCTION <br /> / Cwv <br /> (ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY W.R.E.C\, <br /> tiri Art e <br /> 1 I PLUMBING $ f X, <br /> 1 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (GAS 1 1 ROOFING pi SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 f YES NO <br /> Apr <br /> BUILDER ,. ' `` , COMPANY 8i,7» $i/ Jv C <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address f ?o /''' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI. I Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN 1 Y/ N 1 <br /> Address 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <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 />