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813-780-0020 City of Zephyrhills Permit Application Fax- 813- 780-0021 <br /> Building Department -7 %� <br /> Date Received (` / Z - i6 6 Phone Contact for Permifti . / 5 3 0 - L I S �C. i i l ( I <br /> r <br /> Owner's Name +'/•w..- iir4 €t U u' V1� <br /> 1∎ Owner Phone Number <br /> Owner's Address 13 S r 35 Yk-Q t y., C(VC Owner Phone Number , I <br /> Fee Simple Titleholder Name 1 Owner Phone Number 1 I <br /> Fee Simple Titleholder Address I I <br /> JOB ADDRESS 3bOSi Mf t€t -Scbugtr`e- � LO � T# ` ( <br /> SUBDIVISION I I PARCEL ID# O 2 (` ( © - 039 y. - 002 Q I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEWCONSTR ADD/ALT ri S IGN ri n DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE ED SFR 0 COMM 1 O THER I I <br /> TYPE OF CONSTRUCTION ED BLOCK 0 FRAME I1 S TEEL Q i I <br /> DESCRIPTION OF WORK V\ St lJC_Jl l \ \ j e a t a vvt add; t 0(1 I <br /> BUILDING SIZE 1 1 SQ FOOTAGE, 1 HEIGHT I I <br /> i $ VALUATION OF TOTAL CONSTRUCTION <br /> r---I ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W. R.E.C. <br /> i--IPLUMBI $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i1GAS El ROOFING n SPECIALTY II, OTHER •Rc- A M M. <br /> FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA [YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y 1 N I <br /> Address ( I License # ( <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y I N I FEE CURREN I Y N I <br /> Address I ( License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 License # ( <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address i License # I <br /> OTHER SIG 1 �_ COMPANY Ilfi�ntuk rc al �--ive uGotiA d. s <br /> - - = REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address . s (a5 a j �, s ,�!f License # 161- OOPC7 - - )e" 5 <br /> 111111 111111111 r 11111111 111111I11111I111111111111 /111Iit1111tr1 <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 subckvisions/targe projects <br /> COMMERCIAL Attach (3) complete sets of Budding 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 wit 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 /> 11 I••I 1 I••• <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. (AIC 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 />