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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin • — <br /> Iirr7f <br /> Owner's Name - - 1 - ; ' L ' Is - _ Pe rror► e Owner Phone Number <br /> Owner's Address .c 7. 9 Pr /i; e r.21 %ii1 f( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS •Sy/' 'Tip- /19P' /2 2 . 947 iA . //5 /I 3 3s YZ LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT I 1 SIGN n n DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE I I SFR n COMM I I OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK [] FRAME I I STEEL 11 1 <br /> DESCRIPTION OF WORK r °Mxe e friel'ef 3 -64 ' 1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ I AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> IPLUMBING $ J <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (GAS 1 l ROOFING II SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N I <br /> Address License # I <br /> ELECTRICIAN / COMPANY jig 74i e �ec /r/ c <br /> SIGNATURE ///�� /CC` REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address I 3.91// / r "e" 2 ,47r• - //r f� 1 License # I Ee 406%%' 406%%' /z4 S" <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address I License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURREN I Y/ N I <br /> Address I License # I <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 />