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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Budding Department <br /> Date Received (s- /g — c Phone Contact for Permittin. - <br /> Owner's Name u 1✓-, t C- A. 4 L ke c �/ , <br /> Owner Phone Number 3 5 Y 7 -1O �� <br /> Owner's Address Owner Phone Number I I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 y0 W(I 5( <br /> LOT # <br /> SUBDIVISION 1 I PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR L J ADD /ALT I 1 SIGN I I I I DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE 1 I SFR COMM I I I OTHER I <br /> TYPE OF CONSTRUCTION 1 I BLOCK I] FRAME I 1 STEEL I I 1 <br /> DESCRIPTION OF WORK ( 6. c7k v. <br /> I LI p 6 -/ e ei.,q/ / L C - — . 0 <br /> BUILDING SIZE I I SQ FOOTAGE' 1 HEIGHT I J <br /> i (BUILDING I$ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL <br /> 1$ g#,5-0 ei , I AMP SERVICE r ----- PROGRESS EN) =RGY I ) I ,VV.R.E.C. <br /> 1 (PLUMBING I$ 1 � // <br /> I /1 LLSS <br /> 1 IMECHANICAL I$ I VALUATION OF MECHANICAL INSTALLA z. <br /> 1 (GAS 1 I ROOFING [ SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA I IYES NO <br /> BUILDER I COMPANY I <br /> I <br /> SIGNATURE I REGISTERED Y / N FEE CURRE� <br /> I I I Y / N I <br /> Address I I <br /> License # I <br /> ~„ ,y7 ` COMPANY tc <br /> SIGNATURE (/ / ^ I i c"."4.5. /� I <br /> ELECTRICIAN <br /> i REGISTERED I Y/ N I FEE CURREN I Y/ N <br /> Address �j j i^ r 7 - 1 /e7 I <br /> ` L icense # I ./-- . 000 .2 67 I <br /> PLUMBER I COMPANY I I <br /> SIGNATURE I REGISTERED Y / N FE C <br /> I URREN I Y/ N I <br /> Address I 1 License # I I <br /> MECHANICAL I COMPANY I <br /> SIGNATURE I REGISTERED Y / N I <br /> I I FEE CURREN I Y/ N I <br /> Address I I License # I I <br /> OTHER I COMPANY I I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt I Y / N I <br /> Address I I License # I I <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. (AJC 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 />