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813- 780 -0020 City of Zephyrhills Permit Application //Z Ho Fax- 813- 780 -0021 <br /> Building Department <br /> Date Received ?/ f - 4 2- - 2� <br /> Phone Contact for Permittin. 9 <br /> Owner's Name W • �, i _ Owner Phone Number • /3 . ,, 2 ` <br /> Owner's Address �J,ry <br /> 3C G 5/? <br /> c lk L:tee - 24 /`� Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3,123 C"°7 , ' T( 73Lf z-- LOT # <br /> SUBDIVISION PARCEL ID# PA 2/ - (w /D /6 4-2) ---622/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR pr ADD /ALT I 1 SIGN n I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR n1 COMM I ' OTHER I <br /> TYPE OF CONSTRUCTION LOCK I FRAME I 1 STEEL I1 1 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE' HEIGHT I <br /> (BUILDING $ VALUATION OF AL CONSTRUCTION <br /> I LIgLECTRICAL $ <br /> /1 1- AMPS ICE /^� 1 Z--•'' PROGRESS ENERGY I W.R.E.C. <br /> 'PLUMBING $ L <br /> I 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> IGAS I 1 ROOFING I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . 1 FEE CURREN I Y/ N I <br /> Address I License # <br /> ELECTRICIAN r , COMPANY 41'}. <br /> I �' " �- <br /> SIGNATURE <br /> -_ REGISTERED l Y/ N I FEE CURREN l Y/ N I <br /> Address I� �� z :« � � � � ..3�'Z� License I 5e 3'6 I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N J FEE CURREN 1 Y/ N I <br /> Address License # i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y 1 N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N . 1 FEE CURREN 1 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 />