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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin — <br /> Owner's Name O RV y Owner Phone Number <br /> • Owner's Address �t c^ S + C I t J Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS 0 1 S - c (� " I 1 10 LOT # <br /> SUBDIVISION i -(4-u c PARCEL ID# 11 2.-2 Z 1- L l o -690 oo - 6010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT 1 1 SIGN n I DEMOLISH <br /> INSTALL I J REPAIR <br /> PROPOSED USE n SFR n COMM 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK / n FRAME 1 ( STEEL / n <br /> DESCRIPTION OF WORK r T ( -/ C4 S p .( t� / -/ / <br /> BUILDING SIZE SQ FOOTAGE 2- ` - HEIGHT <br /> (BUILDING $ col) VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> (PLUMBING $ <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (GAS 11 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address 1 License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y / N 1 <br /> Address I License # I <br /> C � <4G rr�.cy (2ec) b <br /> OTHER COMPANY <br /> C <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN Y / N <br /> (��, (� ( � L ,cy� �-�J <br /> Address 1 f- U R C X ( D <_..C44 f' 4„, 5 I License # I CC C 05 7 9s / <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 />