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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department /" 1 ( 1 93 <br /> Date Received Phone Contact for Permittin . <br /> Owner's Name fi &/2 j liL/ JJ c/7 Owner 1111111mNumber WS - 94" ---- ‘124-1 <br /> Owner's Address 3e ,/ v / J 1t97zA 1!"'' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ,Q , �y <br /> JOB ADDRESS L.,9/270 /,/gn/(/ LOT # / 02 <br /> SUBDIVISION J91 /1Q4h'`L . PARCEL ID# C� .2 � 1V 6( �r�U06 <br /> r / (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 .I SIGN 1 [] DEMOLISH <br /> REPAIR <br /> PROPOSED USE ri COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I <br /> �j FRAME � I � STEEL [] 1 <br /> / <br /> DESCRIPTION OF WORK CdZf /a //v y, Alw ?.. // LNz-/ a.tdo -t 04 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> nBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> Fi ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I W.R.E.C. <br /> 1 (PLUMBING $ <br /> MECHANICAL $ '7r7,n/l c» ) VALUATION OF MECHANICAL INSTALLATION <br /> I (GAS I I ROOFING El SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREI I Y/ N I <br /> Address I 1 License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y N I <br /> Address License # <br /> MECHANICAL "" COMPANY ( - Arret <br /> /, rj2✓C <br /> SIGNATURE REGISTERED (( N I FEE CURREI' N I <br /> Address l'Oa 1i}'11t y /" / S 7 -S License # I R my 6 /", C/ <br /> OTHER / COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N <br /> Address I 1 License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Budding 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />