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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received – /0 ( Phone Contact for Permittin, – <br /> Owner's Name A +l6 V v Jo 6- 11 C Owner Phone Number • 13 " 3 - 5 ? ' <br /> a ( /1 —e1Ch4 i/ /ll(G 33�No <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 O 2 ( / yr V/ I IQ Cox . � 2 y(l4)! S , FL, 335-( LOT # 4 1 <br /> SUBDIVISION C�d�✓ `w H PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I-1 I DEMOLISH <br /> 1 0 INSTALL REPAIR <br /> PROPOSED USE Y I SFR n COMM I I OTHER I f&-tA Ce <br /> TYPE OF CONSTRUCTION I I BLOCK n FRAME I I STEEL n I <br /> DESCRIPTION OF WORK c O + 7tu 1/ LiJoe � cs J ({ i a ca <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ <br /> 0 0 VALUATION OF TOTAL CONSTRUCTION <br /> I (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> 1 (PLUMBING $ <br /> IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I IGAS I ROOFING n SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER / COMPANY / O� <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N 1 <br /> Address License # l <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N I <br /> Address 1 License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURREI' I Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />