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813 - 780-0020 City of Zephyrhills Permit Application a)„ Fax -813- 780 -0021 <br /> Building Department t� <br /> Date Received Phone Contact for Permittin• — <br /> Owner's Name V v � N L 4/ ' Owner Phone Number g 3-31z- ? <br /> Owner's Address � / / l. liAd Owner Phone Number I 73 �7O P 3 ( <br /> Fee Simple Titleholder Name . ( Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 ' JS / ' // - A v � LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ' SFR n COMM ( I OTHER <br /> TYPE OF CONSTRUCTION [ BLOCK I FRAME I 1 STEEL n ( I <br /> DESCRIPTION OF WORK ZOO / A + M > . S L n c - V r c _ E (.3 a- - j € - S -' as-C #Ce L r 1 S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I 'BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 )C'ELECTRICAL $ `6—� — AMP SERVICE 2cw I .14,_1 PROGRESS ENERGY rn W.R.E.C. <br /> I (PLUMBING $ <br /> nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING r7 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN CA COMPANY u J €' &-47-71-0c- "' c . <br /> SIGNATURE REGISTERED / N FEE CURREN N J <br /> Address 1 110 ( U /4i1 -ALX kV 1 License # 1 /5 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I 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 Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application`Oniy) <br /> Reroofs if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />