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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 e - <br /> Owner's Name k 0M-4r Owner Phone Number <br /> Owner's Address , Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS yko9 u/ l . T 4 - LOT # 1? <br /> SUBDIVISION �/{ f /0) 0 4-0 PARCEL ID# 15 / 700 01 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT 1 SIGN 1 I n DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE I 1 SFR n COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION i 1 BLOCK n FRAME ( 1 STEEL n 1 <br /> DESCRIPTION OF WORK /` � Q� /� ✓� � yI _ S/9 /0 6 <br /> BUILDING SIZE SQ FOOTAGE / HEIGHT 1 <br /> nBUILDING �' <br /> � 110. VALUATION OF TOTAL CONSTRUCTION <br /> $ <br /> 1 (ELECTRICAL $ ` AMP SERVICE [1 PROGRESS ENERGY n W.R.E.C. <br /> I (PLUMBING $ <br /> nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I (GAS ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N1 I <br /> Address 1 License # 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ Ni <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y / N I <br /> Address I 1 License # I <br /> OTHER / • COMPANY � /� d ���`'��' <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y/ N <br /> Po <br /> Address t" D .6p x 1 License # 11��49 o � 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 Attomey (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 NC Fences (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />