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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department —'' I I W <br /> Date Received , <br /> Phone Contact for Permitting <br /> T - <br /> T - IVI I 1 <br /> Owner's Name 2` L ' D-P,vi S l tr,- Owner Phone Number <br /> Owner's Address (p.V V l YP 1, ( £4) 271)/( �Y Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I /� <br /> JOB ADDRESS G3C ? 6r. of 1 e / (D et D Y - LOT # <br /> SUBDIVISION / ( /- j. 0 6 j/ s 111 PARCEL ID# <br /> v F (OBTAINED FROM PROPERTY TAX NOTICE) <br /> — <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT I I SIGN n ] fl DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I= COMM I 1 OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK In FRAME I 1 STEEL n 1 1 <br /> DESCRIPTION OF WORK � tut ( °trrh <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> FT BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE FT PROGRESS ENERGY 0 W. R.E.C. <br /> 1 'PLUMBING $ <br /> [MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING In SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA InYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N I <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address <br /> License # <br /> MECHANICAL COMPANY j ` , S i )z C_ <br /> SIGNATURE V <br /> REGISTERED / N I FEE CURREN I YIN 1 <br /> Address WE ' !Cid I I • n 0 p V <br /> Df'rRlClt� r 3QlofC�/ License# I C./�C4(J530 t <br /> OTHER IVA <br /> COMPANY <br /> SIGNATURE <br /> REGISTERED 1 Y / N 1 FEE CURREN ' Y/ N I <br /> Address <br /> License* <br /> 1111 111111111111111111111111111111111111 <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 />