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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Budding Department <br /> Date Received / .3 f� r P�hone Contact for Permittin! — <br /> Owner's Name � ?j i A�R�r�T'fQ ' S CO ` Owner Phone Number q/j ---3% 3 .5 <br /> Owner's Address 6 105\ a3e S\-, -1 Q \ 1p�t 3 ' 3 Zner - Phone Number <br /> Fee pie Titleholder ame Owner Phone Number <br /> Fee Simpi T older Address <br /> JOB ADDRESS ' 5(C 5 Q \ 03 \Ckes C 9 l A 6) \\.s 1 r '1 335 `1 LOT # <br /> 1 <br /> SUBDIVISION PLR L IDH1 t o a(D Q1 o0 o \clot cc o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT SIGN n 1 1 DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE n SFR I I COMM 1 1 OTHER I/ <br /> TYPE OF CONSTRUCTION ( 1 BLOCK n FRAME 1 I STEEL n i <br /> DESCRIPTION OF WORK ,- C r ? t') // f ' . <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1$ nn 0 • <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 'PLUMBING $ <br /> nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO �� y v <br /> nGAS 1 1 ROOFING I SPECIALTY ( 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES NO <br /> 4 <br /> BUILDER / . : r ..__ COMPANY , ' 2 0,- f .-,9 \ SIGNATURE 1 _- REGISTERED Y/ N FEE CURREN i Y/ N i <br /> i% <br /> Address % <br /> !l License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED l Y/ N J FEE CURREN I Y/ N 1 <br /> Address 1 License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address License # I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Budding 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />