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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department g1//5/ Date Received Phone Contact for Permittin a - <br /> / ` /r1�, -3I <br /> Owner's Name �,'!�1 /��T��j"✓� ,�` � � ;� �r / Owner Phone Number 0 ... 1 Z <br /> Owner's Address /00 (E��' t^�� is hN ��/!'/ 7 sL /7477aowner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address es � <br /> JOB ADDRESS � /1" ' ` > S i LOT # <br /> SUBDIVISION 10 2 V/ / , PARCEL ID# o° - Z MX 06 3O—) °/v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR RCI ADD /ALT 1 I SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 17 SFR n COMM I I OTHER <br /> TYPE OF CONSTRUCTION n , BLLOCK l n FRAME 1 1 STEEL n � I mo_ I <br /> DESCRIPTION OF WORK D� �t17� /� �//QG�- �(ijtt+��•r� C �J/ fJY <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> I IPL MBING $ <br /> MECHANICAL $ C9b VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS 1 1 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address I License # 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I 1 License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURREN I Y 1 N I <br /> Address License # ,, I <br /> MECHANICAL Gk i // COMPANY 2) "''" �' '�.� <br /> SIGNATURE REGISTERED 4 FEE CURREN I Y / N I <br /> �� <br /> L <br /> Address /C&/ ,5 /j' 9/ 1 / ' 3�S2f License # 1 R)/4 Io co/ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 License # I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Budding 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 />