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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department . !' / <br /> Date Received 1 _ [ LP _ 10 <br /> I <br /> Phone Contact for Permittin <br /> / I <br /> ;,Z Owner's Name 1- )0. kl 1 • s KCZ ( e (,--) / (011c\ Owner Phone Number i 3 • c - 5 - 3 ,i, 0 <br /> g <br /> d Owner's Address 7 3g i j t<C 11- S e l( A (1P Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> dJOBADDRESS . 1� ,cike ff s h I( Ave zc;dyr lid cS F /Rliyva- LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1 WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n I I DEMOLISH <br /> .1. INSTALL REPAIR <br /> PROPOSED USE 14- I SFR Il COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK ri FRAME I I STEEL I I 1 I <br /> DESCRIPTION OF WORK (,t or , YCLC -i C-'t1C�? 7 ' p1 L /<Q -r - -re_ ii‘_( Z 33.V F° <br /> rtCC i•?7 S <br /> B UILDING SIZE SQ FOOTAGE HEIGHT <br /> (1` 1 'BUILDING 1 $ <br /> 1 6c C) ` VALUATION OF TOTAL CONSTRUCTION <br /> I 'ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> I IPLUMBING $ <br /> 4U <br /> I 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 4S <br /> 1 r <br /> 'GAS <br /> I I ROOFING I - 1 SPECIALTY I ( OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO <br /> BUILDER a /7 ' L COMPANY 1 r i1 >4 r iv tl e r <br /> "-1 <br /> SIGNATURE I L It_ � ' /( ( .( REGISTERED I Y/ N p FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED l Y/ N I FEE CURREN 1 Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I 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 />