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Fax-813-780-0021 <br /> 813 -780 -0020 City of Zephyrhills Permit Application <br /> Building Department A fifqs <br /> Date,Received 11 -1 1 � <br /> / Phone Contact for Permitting /3 G -- � P <br /> Owner's Name CT 4\try co rdt �A) Owner Phone Number <br /> Owner's Address 3(P4, a 7 "Vats+ i Vie/ L ✓t Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3a Z 1 W arts;+►) }ri '." LOT # <br /> SUBDIVISION PARCEL ID# Q.? Q '' - 00000- /S�d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED IIIII NEW CONSTR ADD /ALT SIGN 1 I I I DEMOLISH <br /> IN INSTALL REPAIR <br /> PROPOSED USE ,1 /', SFR I COMM OTHER <br /> TYPE OF CONSTRUCTION IN BLOCK I 1 FRAME I I STEEL I 1 1 <br /> DESCRIPTION OF WORK 4,V, r rwr f file* Tai J j� a — I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> • • <br /> 'BUILDING $ 301 VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> 'PLUMBING $ <br /> ' 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ' (GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA 1 1YES NO <br /> BUILDER cJ COMPANY ' 4 d Asp/ a /10 o 7 " Aj� <br /> SIGNATURE REGISTERED Y N FEE CURRE� 4 N ' J <br /> Address 5", <br /> / / �i iskint /l 1 License# Xcc L7 / /fC 9 y3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED � Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N FEE CURREN 1 Y/ N ' <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREIN 1 Y/ N <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />