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813-780 -0020 City of Zephyrhills Permit Application 4r 1/2 7 Fax- 813- 780 -0021 <br /> Building Department <br /> Dato Recelv'ed /2- /- I d Phone Contact for Permittin • - <br /> Owner's Name i ./5r t'` " t ` 14-- 3 ■. < < ■> , tr e - • Owner Phone Number Y , - /s4 - 1 <br /> Owner's Address ( 6 ` 6 T ✓ "-' 12 p Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS - `L 5 - I - ( r o i T V IZ 0 i 2 . d �i 1 - r1 r L i F S , I - c LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE El SFR I] COMM I 1 OTHER I 0 (' t 4. ' k CT4.,,,, ,, ) I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME i 1 STEEL 1 I 1 <br /> DESCRIPTION OF WORK (3 F- r+ , C..e___ --t-c-( \.e {- <br /> BUILDING SIZE 5 4 1 ? 1 2 ._ ' SQ FOOTAGE) HEIGHT <br /> I • (BUILDING <br /> $ . ' VALUATION OF TOTAL CONSTRUCTION <br /> rviELECTRICAL $ co. ci 7 AMP SERVICE 1 ✓i PROGRESS ENERGY f I W.R.E.C. <br /> ( r ev /..u? <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 1 ROOFING r7 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER N ,,, ,i r-, ,, ,,¢.. o 4 , 3 v . L 0 \, C•„ ,e. ,' <br /> COMPANY <br /> SIGNATURE REGISTERED 419PN FEE CURREN I Y / N I <br /> Address License # I <br /> EL ECTRICIAN COMPANY S <br /> SIGNATUR - REGISTERED 6, %! N FEE CURREN I Y / N <br /> Address/''' License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I 1 License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURREN 1 Y/ N 1 <br /> Address 1 License # 1 I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N 1 <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 /> 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 />