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813 - 780 -0020 City of Zephyrhills Permit Application Fax - 813- 780-0021 <br /> Building Department + j ( ) a 2— <br /> D9te Received Phone Contact for Permitdn V <br /> ( �pe-4/\ n <br /> Owner's Name S • V / • Rd ...5 1 � ,,�J Owner Phone Number 3.S y Z / 7 9- 0 $ O <br /> Owner's Address AO I e"/` d' /O Ack- 0'1 r 1 " /' j y#' Owner Phone Number I <br /> Fee Simple Titleholder Name I Owner Phone Number I <br /> Fee Simple Titleholder Address I / ),�' ' ) �j �/ <br /> JOB ADDRESS I3 193 - - ttfilit 144 At/ /4) //s r" 335 L I LOT# I q <br /> SUBDIVISION l t. Pete"e 4-- PARCEL ID# t 1 'O 0/90 6000 ' O '7o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 SIGN Q n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F71- SFR n COMM I OTHER <br /> TYPE OF CONSTRUCTION = r!- BLOCK FRAME r� STEEL = 1 / / _., <br /> 0( DESCRIPTION OF WORK /4/S� /�/ U'h /j! ,4 / 4c g pi r C�a/Z?i�7 'O.//" �"��T ��` f <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> BUILDING $ I VALUATION OF TOTAL CONSTRUCTION <br /> T ELECTRICAL $ l AMP SERVICE I PROGRESS ENERGY n W.R.E.C. <br /> nPLUMBING $ <br /> nMECHANICAL $ . VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING I I SPECIALTY r OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N <br /> Address 1 License # <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y N <br /> Address 1 1 License # 1 <br /> MECHANICAL � J COMPANY • O�- 'a -D j <br /> SIGNATURE /� REGISTERED I 1 N 1 FEE CURREN 1 Y/ N <br /> Address License # <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED ( Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address 1 License # 1 <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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 omits, 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 Penult for new constriction. <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 Pemrit 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 /> 1 <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. (NC 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 />