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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department -0 j 11 - 1 <br /> Date Received ? <br /> '"� P Phone Contact for Permittin ! . /I r J v p7 <br /> Owner's Name, 1 4. 1 d Do d n •9. 4,,d Owner Phone Number <br /> Owner's Address 411 !(-K f - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 4// 7 /t A il LOT # <br /> SUBDIVISION Pk r k 41/ , PARCELID# il•? -e7` - .z/ - 0 id' a - 00000 -00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN I I I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I 1 OTHER I I <br /> TYPE OF CONSTRUCTION 11 // BLOCK I 1 FRAME I I STEEL I I I I <br /> k'td <br /> DESCRIPTION OF WORK 4./;41,/ k, re ",.� J, - i f ,(l ,J,7 t - /c <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ( (BUILDING $ 3s3 (/ VALUATION OF TOTAL CONSTRUCTION <br /> ( (ELECTRICAL $ / AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> (PLUMBING $ <br /> ( (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (GAS 1 1 ROOFING n SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> IllitAltItttIIIIHHIIlIIIIII11 1111IIII II INIII IIIiI11111litlilllillil11ii111i111 <br /> BUILDER NW , tr II t COMPANY 10;44c/,is, iii I/ o 7 q 1 i <br /> SIGNATURE I REGISTERED ICY) N I FEE CURREI■ ` / N 7 <br /> Address - 0 AMINIEWIIIIIIII License # _re6 13/ /f 7 9 yJ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED ( Y/ N 1 FEE CURREls I Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI■ I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED ( Y/ N J FEE CURREtN I Y/ N I <br /> Address 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 /> Fit 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />