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813 - 780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 -0021 <br /> Building Department <br /> Date Received / 70 Phone Contact for Permittln. - <br /> Owner's Name 0 YANq.e r) 41 'it/e- (nK/ Owner Phone Number ^ 0 1 <br /> Owner's Address 7 4k1 5/0 sg p y, /3/{/�1 Owner Phone Number <br /> Fee Simple Titleholder Name 6Q Owner Phone Number <br /> Fee Simple Titleholder Address f �4 <br /> JOB ADDRESS y60? ( r, 3 0 3.2 BJo sscmi gfre LOT # <br /> SUBDIVISION Or4.' Q ij Ofi en 1.90/CA 3 PARCEL ID# /u ' o - / - 0 / 7( - OW00 - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR i ADD /ALT I 1 SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM I 1 OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME l I I STEEL n i <br /> DESCRIPTION OF WORK /O d- 1 jl /9C c $ t -. / e ho <br /> BUILDING SIZE SQ FOOTAGE , t 000 SII HEIGHT 0 r <br /> []BUILDING $ oOD O VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE [] PROGRESS ENERGY n W.R.E.C. <br /> I (PLUMBING $ r (/J <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION G� <br /> []GAS n ROOFING J SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I <br /> 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y/ N I <br /> Address I 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address I I License # I <br /> OTHER COMPANY / �' L lr J npoe, <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> AP <br /> Address l /fd? 0 e2//( /r� SJ <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/Sunvey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />