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813 -780 -0020 City of Zephyrhills Permit Application I � <br /> Fax - 813- 780 -0021 <br /> • Building Department L <br /> Date Received -- SJ v Phone Contact for Permittin • — � <br /> rs �- l— 3 / ..53 .x- <br /> Owner's Name J. 1 _0 i �► ' J I ' ` Owner Phone Numbs / <br /> Owner's Address I 53 3 'I✓ o - rk -5 I Owner Phone Number <br /> Fee Simple Titleholder Name <br /> I I Owner Phone Number 1 I <br /> I I <br /> Fee Simple Titleholder Address I 1 I <br /> JOB ADDRESS 1 __5 to OZ O r 1 ' ` LOT # <br /> SUBDIVISION I <br /> I , PARCEL ID#1 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED <br /> I I NEW CONSTR ADD /ALT ( I SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK in FRAME I I STEEL E1 I I <br /> • WA ( 1 / s f c', i <br /> DESCRIPTION OF WORK () , i <br /> �') o V ALL M t �/� v" I C ACi�� Y `� / <br /> BUILDING SIZE SQ FOOTAGE' I HEIGHT I I <br /> BUILDING $ Ar Al, DO, E b VALUATION OF TOTAL CONSTRUCTION <br /> IESIELECTRICAL $ g 04 0 O AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> 1 (PLUMBING $ / <br /> r C <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /I A ) V <br /> I IGAS n ROOFING n SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO <br /> COMPANY i e- <br /> BUILDER r <br /> VVVVIIIIJJ// REGISTERED I / N I FEE CURREN / <br /> SIGNATURE Y/ N <br /> J <br /> Address .5 ,�h34 ' 'AO S - License # <br /> ELECTRICIAN <br /> 1 I r I 4 t i COMPANY e - <br /> SIGNATURE � � 6 �� ' 1 REGISTERED I Y 7YVL <br /> 1 FEE CURREN Y/ N I <br /> : <br /> F Address t { 0 . A License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address I License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 License # I I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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-0-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 />