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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department -$ v <br /> ` e _, `� <br /> Date Received Phone Contact for Permittin ! J f; T - 2 l ' <br /> Owner's Name cJ v► / / +Whir' Clv / o Owner Phone Number <br /> Owner's Address 35 7 0 Y Mr4d u N v a d 1/ Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3770y M44J,a/QU0 Lr LOT # <br /> SUBDIVISION / eA PARCELID# f1 - 2f - 0 /Yu - 00000 - 0a 1U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CQNSTR ADD /ALT I I SIGN I I I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR II COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK F FR I I STEEL I I I I <br /> DESCRIPTION OF WORK I ^ o4 6.1 de'el irrr�r,4 J ✓ To r .f l e t — 3 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> (BUILDING $ /1/ Q VALUATION OF TOTAL CONSTRUCTION <br /> I (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I] W.R.E.C. <br /> I IPLUMBING <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> IGAS L I ROOFING ri SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> BUILDER COMPANY l �•�'�� r r- „ / //�� p�-oi• <br /> SIGNATURE REGISTERED 14021_1 FEE CURREI' I t)/ N <br /> Address License # 1 fa /I /JJOt J1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN, I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I 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 Attomey (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 />