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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department II ' 1 <br /> Date Received 'I / 8 /0 Phone Contact for Permittin ! -- r <br /> ''rOwner's Name /`f fie (i 4 L-/ ?/ "6 i Owner Phone Number 7 a ,� LZ< - /6 ;/) <br /> Owner's Address .47L/41/. ���� 4/ S �i'iiy l-; r c f/ <br /> (� v c C' /t /47-00 .1 47 a7✓/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> IYJOB ADDRESS � .S 7' 7 l' C'` 6- 9 . ?_- -- - 0 G / LOT # C --/ <br /> SUBDIVISION PARCEL ID# ( [ _- y, — - - W( 0 ` O o o - 003- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [ SFR I I COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK '—I FRAME I I STEEL I 1 1 I <br /> X DESCRIPTION OF WORK P/4/7" J (U /,/ /'W/ 6 , ,2 /X g <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> X 1 'BUILDING $ ©0 y' VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> 1 IPLUMBING $ <br /> 1 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 IGAS 1 1 ROOFING 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS OOD ZONE AREA 1 IYES NO <br /> NIrTI1 ` <br /> X BUILDER� __ 0 + COMPANY l V' "'6 vW�I e� <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N I <br /> Address I 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y / N 1 <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 />