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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department j:r 1 t z- <br /> Date Received -- 7/ 26—/0 I <br /> Phone Contact for Permittin. <br /> Name Z° v f L S c' cc Ow ner Phone Nurfber 3 • 3 - , O 5 -- S '7 /8 <br /> C��fe�D <br /> Owner's Address 3 / J� / /NG Ne Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �^t <br /> JOB ADDRESS 3 9 5,2 / L� ti .1R roe LOT # (.236 <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT 1 ( SIGN n 1 I DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE 1 1 SFR n COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME 1 1 STEEL n <br /> DESCRIPTION OF WORK it Sla:r O04) / 7 S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 6/00,' " VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS I I ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS i OD ZONE AREA 1YES NO <br /> diWYWYitik' +� '1 <br /> BUILDER G ,, r 4 COMPANY //"7 t'' DI.Jc/e <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURREN 1 Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address _ License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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-0-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 />