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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813780 -0021 <br /> Building Department <br /> Date Received Ng u `i 1 rA Phone Contact for Permittin, – <br /> Owner's Name ' 1 1 /) '-1 ,] • o , d. y , Owner Phone Number • 'l 1 0 J / • A - I <br /> Owners Address W p 1 "Rt l � L D ! 1 <br /> Owner Phone Number I '5(7j" 18... % 1 <br /> Fee Simple Titleholder Name 1 Owner Phone Number I 1 ) ' 1 IS l 1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ____ ' A ■ C ,` > l <br /> CYt M )� -1 LOT # <br /> SUBDIVISION I ze fahgf -R (_ . PARCEL ID# 1 - dlo `� 1 Q I p - c 74D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED u NEW CONSTR F1 ADD /ALT I SIGN ( n DEMOLISH <br /> H INSTALL REPAIR <br /> PROPOSED USE n SFR Q COMM 1 OTH • I I <br /> TYPE OF CONSTRUCTION n BLOCK Q FRAME (— U STEEL [ 1 I [ <br /> DESCRIPTION OF WORK 164 it) 0-f -3qa -14> HI ?0Cv,0o , on -4- <br /> ' <br /> BUILDING SIZE SQ FOOTAGE 11 as. HEIGHT ( <br /> [BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ AMP SERVICE [ PROGRESS ENERGY [] W.R.E.C. <br /> [PLUMBING I$ <br /> .11tdECHANICAL $ saw Li1J I VALUATION OF MECHANICAL INSTALLATION 4 i 1 <br /> nGAS n ROOFING n SPECIALTY [— I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> ' I ' 1 • 1 " ' 1 " ' 1 • ' 1 ' 1 1 ' 1 1 1 1 " 1 1 1 1 1 1' 1 1 1' 1" 1' 1" <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY ( <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 1 License# I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address / – License # <br /> MECHANICAj. " - Illllll/ 0i' OMPANY 1 N ` r ii 1 ICS <br /> SIGNATURE ` /� /�` ice U REGISTERED I Y/ / N I FEE CURREN <br /> y��h ^� <br /> Address , i' '' License License # I£- A(,la L t I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 License # I <br /> 1111111 11111111111 1111111111111111111111111111111111111111111 1111 <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 subdivisionsAarge 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. (AIC 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 NC Fences (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br /> i <br />