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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> ;, <br /> Building Department 31 <br /> Date Received Phone Contact for Permittin! — <br /> _ . G/ <br /> Owner's Name -. e/ t - 7 - i-,' 4 (` , <br /> Owner Phone Numbe I Z$ ' 12 , � v 0 SS ' <br /> y <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �/' <br /> 5 4 1 ( � dI L <br /> JOB ADDRESS /L4111ifVAlar_ . — ::T , = NI LOT # 2. -Z S <br /> SUBDIVISION / Sic'C t (3 PARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Vil NEW CONSTR n ADD /ALT 1 1 SIGN n I 1 DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE at SFR n1 COMM I 1 OTHER ( I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME 1 I STEEL n I I <br /> DESCRIPTION OF WORK (H/7/ t, a D ) p f '1 j / J x <br /> BUILDING SIZE X/ b / I SQ FOOTAGE 26 HEIGHT S / <br /> p <br /> UILDING $ ,If g O p C VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE r] PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 'PLUMBING $ <br /> Aie-A47-(A)6 <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION !� _ ^ 1 ��, <br /> I (GAS 1 I ROOFING S PECIALTY OTHER a rmw ►' I <br /> I I I P� y � <br /> ,,()� -� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO / — <br /> FRP� � 1 __j BUILDER COMPANY r� i ��� .. _ SIGNATURE _ . <br /> ` 1 = REGISTERED Y/ N ' F" CUR -z Y / N <br /> Address License # <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN, 1 Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address <br /> 1 License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREI. 1 Y/ N 1 <br /> Address I 1 License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address I 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />