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813 - 780 -0020 City of Zephyrhills Permit Application -, Fax- 813 - 780 -0021 <br /> Building Department <br /> Date tteceived // — (V Phone Contact for Permittin <br /> S Owner's Name L o R / _S JO /v E<S Owner Phone mbar I Sl tf 9 ) 3;9 y 3 <br /> Owner's Address 3 c ' 7 y/ G An 4.5 Owner Phone Number _ Fee Simple Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> 04. JOB ADDRESS S L C eY oL L o Afol L &15 TeS asp'y/ cRst1 LOT# <br /> SUBDIVISION SL C e 9 No I - 1 . e tv f A Mk. PARCEL ID# 2 2 - Z C— 0 0 ( 0 — OS ) — O'3'-) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR rtl ADD /ALT I I SIGN I ( n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 5t1 SFR II COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I BLOCK n FRAME ( STEEL n 1 <br /> DESCRIPTION OF WORK K �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> jS � <br /> I 'ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS 1 I ROOFING I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> l i <br /> BUILDER �1 COMPANY <br /> ^ SIGNATURE S REGISTERED 1 Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREI I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y/ N I <br /> Address 1 License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address 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 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />