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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department l (1 6(( <br /> Date Re'calved <br /> Pho ne Contact for Permitting <br /> Owner's Name C t1/41 l! © Z Y' b (. it Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> f / -t y � 7 <br /> JOB ADDRESS i 3 34 51 I_ J 3 LOT # <br /> SUBDIVISION PARCEL ID# 1 { — l f 4- 01 o OR d 00- 0 (p1 V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT I SIGN [ 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ] SFR I] COMM ( 1 OTHER <br /> TYPE OF CONSTRUCTION [ BLOCK / n FRAME I 1 STEEL n <br /> tJ <br /> DESCRIPTION OF WORK r 6�ach �� U � ✓ I L1, /� <br /> BUILDING SIZE •SQ FOOTAGE rO HEIGHT <br /> ]BUILDING $ / j3�l VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE F PROGRESS ENERGY n W.R.E.C. <br /> (PLUMBING $ <br /> ]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ] IGAS 1 I ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1YES NO <br /> BUILDER +, 4 COMPANY 14c4(G F •�1C ( <br /> SIGNATURE • REGISTERED I Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address ,,,5 WC( / / �,i License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURREI 1 Y/ N I <br /> Address 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y / N 1 <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />