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• 813- 780 -0020 City of Zephyrhills Permit Application ( , Fax- 813 - 780 -0021 <br /> Building Department (( ; C o <br /> Date Received .. t _ (0 <br /> Phone Contact for Permittin. - <br /> Owner's Name JJ)Nr� R cYI#/Wc R L / iU 6:- Owner Phone Number 5/35 - 7cP / 7 S <br /> ---- Owners Address 2 //C -RCS 7O 10 Q 7. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ( ? //) Z 5 ) 6/ LOT # <br /> - SUBDIVISION r /PC - CRti - 1 PARCEL d 2 ` V U r 2t0 - deov0 - pSfO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR1J ADD /ALT I 1 SIGN n I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR El COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I 1 BLOCK pi FRAME I I STEEL El I I <br /> - DESCRIPTION OF WORK 1 711: 6 CfiK PO R7 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I <br /> — 1 (BUILDING $ %5-" v7 / ` " 3T VALUATION OF TOTAL CONSTRUCTION <br /> 1 IELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY ( W.R.E.C. <br /> I (PLUMBING $ <br /> / <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I IGAS 1 I ROOFING I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO <br /> os <br /> e� <br /> J BUILDER ! � ' )( COMPANY <br /> T' SIGNATURE ✓ /� ��r? � REGISTERED Y / N ] ` FEE CURREN i Y / N i <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address I ( License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N J FEE CURREN 1 Y/ N 1 <br /> Address I <br /> 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N 1 <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 />