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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department • <br /> ( \ • <br /> Date Received Phone Contact for Permittin <br /> � 11 1 y <br /> Owners Name L C�l ev <br /> v 1� - -L Q Owner Phone Number <br /> Owners Address 11.1w ) y E /v f UJ1 twasbev QC Iv $S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> t ddress { <br /> JOB ADDRESS 1C .1 4 1 Ia{VQ1 ZQPk C M \t5 LOT# <br /> SUBDIVISION PARCEL I13#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR u ADD /ALT 1 1 SIGN 1 1 n DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL n 1 <br /> DESCRIPTION OF WORK - refine Pow * .r CSok.S4 nNaL3 - 4 4 ste_ 4. Q"4- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 $ aLi G AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 1PLUMBING $ � � p <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 I ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA []YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURREN � Y/ Ni <br /> Address dd �j License # <br /> ELECTRICIAN ` COMPANY Lin g • EE C s YY Con tr. <br /> SIGNATURE I /� REGISTERED 1 Y/ N I EE CURREE I 1 N 1 Y/ I N N <br /> Address 2050 Marconi Dr, 3k . too, A/plaan ta. GA 3ool'S License # E C 0CCO7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address <br /> License # <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 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 /> • 1 1 1 • . . • 1 <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 />