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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department <br /> Date Received ` 7-1 � Phone Contact for Permittln. — <br /> Owner's Name L A sf:ky Cos I'a A N Owner Phone Number 813— 7 88 — 2007-- <br /> Owner's Address 5,70t 1 3 5t' ree-4 Owner Phone Number E313- 7/3- 2 O) g <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 X)1 / SV LOT # <br /> SUBDIVISION , PARCEL ID# 11— 2 b 21 - O O I o- o B t+OO" OO 8 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT 1 1 SIGN n I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK ri FRAME I 1 STEEL n <br /> DESCRIPTION OF WORK New 0 five Wa <br /> BUILDING SIZE SQ FOOTAGE HEIGHT L r <br /> Mil BUILDING $ 'vo <br /> I/ 1, VALUATION OF TOTAL CONSTRUCTIQN <br /> " � <br /> I (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> I (PLUMBING $ <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 I GAS n ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO <br /> BUILDER / COMPANY ,/ "--c:: 7 1 " :;--- 1' <br /> � //G'" <br /> ) �1 <br /> SIGNATURE OW" REGISTERED ,' I Y N I RREN 1 Y/ N I <br /> Address License # 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURREN I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y/ N I <br /> Address 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y / N I <br /> Address I License # 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. (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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />