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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department l r 1 <br /> / <br /> Date Received ' 9 a <br /> _ v 1/ <br /> Phone Contact for Permitting <br /> Owner's Name fr4e - / A , <br /> Owner Phone Number IM <br /> Owner's Address (t j a 9 /91 i Owner Phone Number <br /> Fee Simple Titleholder Name . I I I <br /> Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 1 i/ 4/a 7 /7 6a 7-' 1 LOT # I <br /> SUBDIVISION oh /A2 2 Z & 1 REEL ID# �1 / v U <br /> �' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I N NEW CONSTR I I REPAIR SIGN n DEMOLISH <br /> PROPOSED USE I I SFR 1-7 7 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK [1 FRAME I I STEEL 1 I I <br /> I <br /> DESCRIPTION OF WORK I etepoile,d. ke /)Ii9/I /I 04fs1i ii- Oio <br /> BUILDING SIZE I I SQ FOOTAGE' 1 HEIGHT I I <br /> / BUILDING I$ 'Add. OF. <br /> VALUATION 6YAL CONSTRUCTION <br /> (ELECTRICAL AMP SERVICE I I PROGRESS ENERGY <br /> I $ <br /> I I 1 W.R.E.C. <br /> 1 (PLUMBING 1$ I <br /> I IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I (GAS I 1 ROOFING I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I I <br /> FLOOD ZONE AREA I (YES NO <br /> BUILDER i �A j <br /> • <br /> SIGNATURE COMPANY _ ,,� .• / % ' i " � '� l_� / <br /> — <br /> REGISTERED - '` 1 EE CURREN Y / N + <br /> Address I ‘ <br /> 1 <br /> License # I �36 <br /> 44 I <br /> ELECTRICIAN I I <br /> SIGNATURE I COMPANY I <br /> REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I <br /> License # I I <br /> PLUMBER I I <br /> SIGNATURE I COMPANY I <br /> REGISTERED I Y/ N I FEE CURREI I Y 1N1 I <br /> Address I I <br /> License # I <br /> MECHANICAL I I <br /> SIGNATURE I COMPANY 1 <br /> REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I <br /> 1 <br /> License # I I <br /> OTHER <br /> COMPANY I I <br /> SIGNATURE <br /> REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I <br /> License # I 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 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 />