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• <br /> 813-780 -0020 City of Zephyrhills Permit Application ' ' // (- j Fax -813- 780 -0021 <br /> Building Department <br /> Date Received t ?jam Phone Contact for Permitting -- <br /> 1111111 *1lil III ili1r <br /> Owner's Name Z-Pit /411t1 519-#7v: Owner Phone Number S7(' -* L) 7 575 e <br /> Owner's Address 38256 ' Owner Phone Number [_ <br /> Fee Simple Titleholder Name Owner Phone Number r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,c) LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 17 NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM n OTHER <br /> TYPE OF CONSTRUCTION 1 '/ BLOCK 1 1 FRAME n STEEL n OTHER 1 i t--ale.-- / t/ --ale.-- r- � <br /> DESCRIPTION OF WORK -..L//S4(// � cif 'I #7- Q /rtGe, ' / 47d/LIsvcC�' 5/f �'✓ j fYif'✓J7 /,r;L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> I PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION -� <br /> I GAS I 1 ROOFING 1 I SPECIALTY Ill OTHER 7 t <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I YES [JNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 yin, I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y N 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE c�G, $STER • Y / N FEE CURRENT I Y / N I <br /> 'ii ■ 1 I I <br /> Address r ' /' e r t ` Li ense # <br /> OTHER � i%� COMPANY USf} <br /> SIGNATURE 7- REGISTERED ( Y / N I FEE CURRENT I Y / NN <br /> Address --. ' V � -// f / ®� �G7 1 License # (� /t /eee/ 7 1 <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 $5000) <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 Sewers Service Upgrades NC Fences (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br /> C) / /3;4 <br /> tC 4 2 e 44/ f �-� <br /> a ci <br />