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813 - 780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 -0021 <br /> Building Department <br /> - ' V"( b <br /> Date Received Phone Contact for Permittin! - <br /> Owner's Name of 1 oes fr oe» �� /40I1 f)/le` Owner Phone Number ') 3 -- 7e--)6/5 - <br /> 3g <br /> �7 � 1 w � � ` <br /> Owner's Address �� Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ` 1 / / <br /> JOB ADDRESS '7 l 1 3 eoLL► N3 51. - Z 1 H (LL f7 LOT # <br /> SUBDIVISION PARCEL ID# lit-a-6-d/ - 0°00 ' Io -- c JD <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ih ADD /ALT I 1 SIGN n I DEMOLISH <br /> INSTALL 11111 REPAIR <br /> PROPOSED USE SFR n COMM 1 I OTHER I I <br /> TYPE OF CONSTRUCTION BLOCK 1 FRAME I I STEEL n I i I <br /> DESCRIPTION OF WORK s , t- -, /1.,' /A ;8,, s,. �.- f �,( S o� oo 0sQ'V <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 (BUILDING $ V • d ATION O .0TAL CONSTRUCTION <br /> r $ rd ._�,� • MP SERVICE 1 i PROGRESS ENERGY I 1 W.R.E.C. <br /> 1 (PLUMBING $ <br /> E1MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING fI SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # 1 <br /> ELECTRICIAN ! . COMPANY / `- l Azty.�, �.i <br /> SIGNATURE �' /!. REGISTERED r Y/ N I FEE C URREN I Y/ N 1 <br /> Address r License # k - ` 0 0 0 7O 7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address I 1 License # I t f 0 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I 1 License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN 1 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 Attomey (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) ,.,,, , ,,,,„,.,,,..,.". -s At <br /> Driveways -Not over Counter if on public roadways.. needs ROW <br /> 3 , <br />