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813 -780 -0020 <br /> City of Zephyrhills Permit Application , Fax-813-780-0021 <br /> Building Department ( � Date Receied , [ ✓ <br /> Phone Contact for Permittin e — <br /> Owner's Name r r r <br /> Owner Phone Number <br /> Owner's Address I I Owner Phone Number I <br /> Fee Simple Titleholder Name I ( Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 1 3 f3 �j I f23 K // // e "ledl/ A(,,e LS 7 I LOT # I <br /> / r <br /> SUBDIVISION 1 I , PARCEL ID # <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ' NEW CONSTR ADD /ALT I I SIGN r n DEMOLISH <br /> INSTALL I 1 REPAIR <br /> PROPOSED USE n SFR n COMM 1 I OTHER I <br /> TYPE OF CONSTRUCTION n { BLOCK n FRAME 1 1 STEEL I I <br /> I I I <br /> DESCRIPTION OF WORK I , ®l/Rc, ('h q , j L�-1 � <br /> e <br /> I <br /> BUILDING SIZE I -Se FOOTAGE' ! % I HEIGHT I 0 ' I <br /> I 'BUILDING $ /� <br /> I L Qp I VALUATION OF TOTAL CONSTRUCTION <br /> I 'ELECTRICAL I$ l , I AMP SERVICE I I PROGRESS ENERGY ► I W.R.E.C. <br /> 1 IPLUMBING I$ I <br /> I (MECHANICAL I$ I VALUATION OF MECHANICAL INSTALLATION <br /> I IGAS 1 1 ROPING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA ' 'YES NO <br /> As <br /> BUILDER <br /> lir / I M \ COMPANY I kill6 FF✓LC6 <br /> SIGNATURE REGISTERED <br /> I Y/ N I <br /> I FEE CURREN I Y/ N I <br /> Address 7 S-0 r ea- 6,1 <br /> License # I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE l REGISTERED I <br /> I Y/ N J FEE CURREN 1 Y/ N I <br /> Address I I <br /> License # I <br /> PLUMBER I COMPANY I <br /> SIGNATURE I REGISTERED I <br /> I 1 Y / N I FEE CURREN I Y/ N I <br /> Address 1 I <br /> License # I <br /> MECHANICAL I COMPANY I <br /> 3GNATURE I I <br /> REGISTERED I Y / N . 1 FEE CURREN I Y/ N I <br /> Address I I <br /> License # I I <br /> )THER <br /> COMPANY I I <br /> IGNATURE <br /> REGISTERED 1 Y/ N I FEE CURREN l Y/ N I <br /> Address I <br /> License # I <br /> ESIDENTIAL 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 /> DMMERCIAL 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 /> GN PERMIT Attach (2) sets of Engineered Plans. <br /> "'PROPERTY SURVEY required for all NEW construction. <br /> rections: <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 /> ER THE COUNTER PERMITTING (Front of Application Only) <br /> . 00fs if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />