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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department <br /> a <br /> Date Recel "ved Phone ,/ <br /> Contact for Permittin <br /> Owner's Name S (,/ /' /3 /9 -e fi v O A / J Owner Phone Number g7 3 — LS 2,S ' 2 <br /> t� 9 <br /> Owner's Address C7 27, 61 „ JG , 0674 y1 ` 2 Owner Phone Number <br /> 3 i Fee Simple Titleholder Name - &f /7 8 09. 7 Owner Phone Number <br /> Fee Simple Titleholder Address 6 72-2„. G 36 ,. Z.P0 y/' /// 5 / PI -c'co f ` g g S - a <br /> JOB ADDRESS 5 j 6 i -1 , 2 /5°/1» /1 2 t Z-- , -/ -1, 2 3- 4/ 2 LOT # i t, . 5Ci! -6 <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT p�� SIGN 1 pl DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE n SFR n COMM 1 1 OTHER Rj w jw ►' <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME 1 1 STEEL ( 1 1 £ 1.5 r 7.Fi PAZ. 1 <br /> DESCRIPTION OF WORK ,F2 / C 7X( c',5 / ovJl ix' s) p2 T , f ' <br /> BUILDING SIZE SQ FOOTAGE i 5 3 HEIGHT <br /> • (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ / Bc2 AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 PLUMBING $ <br /> [MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I YES NO <br /> BUILDER as COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N <br /> I <br /> A ess License # <br /> ECECTRICIAN'f <br /> ✓ ✓// � COMPANY 0 k✓G�� <br /> � <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURREF I Y/ N I <br /> Address _ License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y / N I <br /> Address License # <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 />