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813 - 780 -0020 City of Zephyrhills Permit Application r J Fax -813- 780 -0021 <br /> Building Department <br /> Received Phone Contact for Permittin! — <br /> Owner's Name Or y' , r 1'' Prc ft - Owner Phone Number <br /> Owner's Address ti'? - 70 9 Aw w`/ Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (C )0 1 & c, `c( C ( r LOT # <br /> SUBDIVISION 1 J ( 4 A)000 PARCEL ID# L-2,(0 - 2,1-0 7 / 0 -000b 0 J /, 'O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT ( 1 SIGN n F DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE n SFR I I COMM I OTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME 1 STEEL n <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE! Z575 HEIGHT <br /> BUILDING $ 5) 0L2 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ <br /> !MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREI i Y/ N i <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N ( FEE CURREN 1 Y/ N 1 <br /> Address 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N J FEE CURREN I Y/ N I <br /> Address I 1 License # <br /> OTHER v � L _ COMPANY COMPANY 5(6 I61i1c „ h U � <br /> 4. 6 ' 77. <br /> SIGNATURE !� G a / REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address t2 8 / / , (r �G fr l ii b1 License # 1 Cr 4-- U .S l <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 />