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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department 11153 <br /> Date Received — Phone Contact for Permitting — <br /> Owner's Name S;i AO nh c>.1 /6,e4,74.11//9/1/ O wner Phone Number 7 R" / <br /> er i yJ. -�? <br /> � � �' ,�i� i - -, <br /> Owner's Address Q7f9 / 'e�R'/9if Owner Phone NumbeT <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4 ,3e.0.2 7j� LOT # D feig /�� <br /> SUBDIVISION 1'I19A4t) PARCEL ID# <br /> / (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ri ADD /ALT SIGN I [fl DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR n COMM I ( OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK fl FRAME I I STEEL Q <br /> DESCRIPTION OF WORK e-- 0 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I ,/BUILDING $ `�� o <br /> / VALUATION OF TOTAL CONSTRUCTION <br /> IELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> (PLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> IGAS I I ROOFING n SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> a rt .. <br /> BUILDER =' ■'- " OMPANY ��� r <br /> SIGNATURE of ��/ t ` � REGISTERED Y / N FEE CURREI Y / N <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRE' I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRE' I Y/ N I <br /> Address 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N J 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 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 />