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813 - 780-0020 City of Zephyrhills Permit Application Fax- 813- 780-0021 /�r��'�'� <br /> Building Department .c-d' 1 ` <br /> . . <br /> '( Date Received 2 r( 0 Phone Contact for Permittin, – c-d ` <br /> Owner's Name la 5 --I N 1 fC� '+1:� �7*st - Owner Phone Number <br /> Owner's Address 2 76, :) I T >c- r f (7, ,C. , (q 2 Owner Phone Number <br /> Fee Simple Titleholder Nazi ePp { 1 I `y r 1,-, J j / f L Owner Phone Number <br /> Fee Simple Titleholder Address ( 1 - ! g J <br /> JOB ADDRESS 3 .)r la( r CC ��C' (? (r Ik e_ LOT # <br /> j <br /> SUBDIVISION I PARCEL ID# .. ..7f- ..7f- 7 1 © G /e cx, no 7' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED H NEW CONSTR R ADD /ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM 1 ---- 1 OTHER ( 1 <br /> TYPE OF CONSTRUCTION n BLOCK STEEL = 1 /J (� FRAME ni <br /> DESCRIPTION OF WORK �> > �cL. � r / i`� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 1 jl�J i� <br /> / <br /> =BUILDING $ 7C.( VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ % C AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> nPLUMBING IS <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING 0 SPECIALTY [1 OTHER <br /> FINISHED FLOOR ELEVATIONS I FLLOQD ZONE AREA nYES NO <br /> ••• I• •I•••II•• rtiV 11•••1 1'1 /� 1' <br /> SIGNATURE / �� / , , COMPANY G I t� FEE urtR Y / FI <br /> ,.. REGISTERED Yi/ <br /> Address or 5 Lt,.. _ _ _ : " -k S . I /" License* 1 F$ 0 oo t , ( - 7 <br /> ELECTRICIAN . COMPANY _/ eel r <br /> SIGNATURE L A 4',,,,5• REGISTERED 1 4' 1 N I FEE C iRRENN 1 Y/ H1 <br /> Address 1 License* Il $ o't 1 7 <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED 1 r'/ N 1 FEE CURREN 1 Y/ N <br /> Address I 1 License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address 1 ( License* I I <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED 1 r'/ N I FEE CURREN 1 Y / N 1 <br /> Address 1 License # I <br /> 11111 1111111111111 1111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fors; 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 subdivisionsAarge 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, Storwater 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 /> 1 I • I I' I 1 1' 1 1' 1 <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />