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813 - 780 -0020 City of Zephyrhills Perm Application 4 Fax -813- 780 -0021 <br /> • <br /> Building Department ii '3(P Date Received '" J <br /> / Phone Contact for Permittin • Vi o? 8' — _26 3 G <br /> Owner's Name 6j e_ r a, / iy €.. .m. (7,1 c-• r .Q_ Owner Phone Number ` T <br /> Owner's Address 39 4 15 C d i A r `) L 6 p Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address h� <br /> JOB ADDRESS 5 ! 9/5 C e> q h- , 11 �. 49 v p �//cf J G� S7L1 C, 6(445- X P _ err^ LOT # 1/7 <br /> SUBDIVISION ! , / PARCEL ION I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT 1 1 SIGN pi [ ) DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE r] SFR r COMM f I OTHER I <br /> TYPE OF CONSTRUCTION r- BLOCK [ ] FRAME I I STEEL I I 1 <br /> DESCRIPTION OF WORK \ j A • Ziff „ d J 5 <br /> BUILDING SIZE I SQ FOOTAGE I HEIGHT <br /> ■ :UILDING $ <br /> SP q ?, D D VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY r] W.R.E.C. <br /> I (PLUMBING $ <br /> r1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I IGAS I ROOFING El SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> a <br /> BUILDER � (� COMPANY 3yD e- ei �,r e r' <br /> SIGNATURE � c ( ' REGISTERED I Y/ N I FEE CURREF I Y/ N I <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I 1 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 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 />