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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department Ht-ric-gi <br /> Date Received / rV —! V <br /> Phone Contact for Permittin, <br /> Owner's Name :/EAVtAi RE O Owner Phone Number $1.3 7$i - D 3 �� <br /> Owner's Address c l S ( Rt`E`- Owner Phone Number ($' 13 -- 3(°2-- " /6`// CC-- 9 ' <br /> V <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address 3 c5 /9 a 57-+ C e'r <br /> JOB ADDRESS i\� act? ( Pt E.- l LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ( ADD /ALT I 1 SIGN n n DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE 177 SFR n COMM I I OTHER ( I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME I 1 STEEL n I I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT I <br /> nBUILDING $ <br /> a6'n..O'D VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> I PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 'GAS ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> Q <br /> BUILDER { Q e *-\ COMPANY 400,c a.,: 4 t /i <br /> SIGNATURE F�L �- REGISTERED 1 Y/ N I FEE CURREh i Y/ N I <br /> Address I License # I <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 I FEE CURREP` I Y/ N <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt` I Y/ N <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N ] FEE CURREP` i Y/ N i <br /> Address 1 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 />