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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> . <br /> Date Received 6 - 2.....0 -/e. Phone Contact for Permitting a 82_ - 7, $ 9 <br /> Owner's Name aP�}� q /C L E . (J S„�O V' {7e Owner Phone Number 8/3. 78, '- r99 <br /> `Owner's Address 5?s /:9 S/' Z .4 33S'f z- Owner Phone Number <br /> Fee Simple Titleholder Name . 0:7/G , C; f)✓ Owner Phone Number <br /> Fee Simple Titleholder Address 575, /e 4.s/. Z, 3; <br /> 5/JOB ADDRESS .674 6.5 a a.sv i Z ,33 .S5 LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR f I COMM I 1 L' o' * HER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK 0 F� biir. __-- - - - -_. L _- I <br /> & <br /> D ESCRIPTION OF WORK c�I � �- °' � / � f �� � g� �/�, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> / I ( BUILDING $ C.Jx VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> 1 (PLUMBING $ ',/ ,' , <br /> 1 (MECHANICAL $ , VAL - s% , I�L INSTALLATION <br /> _ r: <br /> 1 (GAS I I ROOFING SPEC 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS ' FLOQnZONEAREA I (YES NO <br /> 0 BUILDER / COMPANY � Z4,77.."_,.--- ,/ <br /> SIGNATURE V — REGISTERED I Y / N I FEE CURREN Y / N I <br /> Address 1 �a •, SS_ '/f Sf License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREIN I Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREP I Y/ N I <br /> Address 1 License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N I <br /> Address <br /> 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y / N I <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 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 />