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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name C a ✓ro / 9/ 0 S <br /> � Owner Phone Number <br /> Owner's Address 380 lin - t4-,/e. I Owner Phone Number 1 I <br /> Fee Simple Titleholder Name I Owner Phone Number I <br /> Fee Simple Titleholder Address I I <br /> JOB ADDRESS I S /d-a t 1---C € fr I , 0✓ k y 1, / ( f 1 LOT # I I <br /> SUBDIVISION 171t4 4 ✓ V► e t lJ S lit -I I , PARCEL ID# I I ) - Co - 2 I -0 ° LI V - U0 4lo.3 - 0 D S`0 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR - INSTALL _ ADD /ALT REPAIR I I SIGN ni [ DEMOLISH <br /> PROPOSED USE [ SFR r7 COMM 1 I OTHER I <br /> TYPE OF CONSTRUCTION I---1 BLOCK [ FRAME I 1 STEEL I-1 1 I <br /> DESCRIPTION OF WORK I t ' J--t /---) w / GAF 71 V i / I <br /> BUILDING SIZE I 1 SQ FOOTAGE' ( ! 57 I HEIGHT I I <br /> 1 'BUILDING Is <br /> 3rer° I VALUATION OF TOTAL CONSTRUCTION <br /> 1 'ELECTRICAL I$ I AMP SERVICE I PROGRESS ENERGY II W.R.E.C. <br /> 1 (PLUMBING I$ I <br /> 1 (MECHANICAL I$ I VALUATION OF MECHANICAL INSTALLATION <br /> F GAS [i ROOFING I—[ SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA 1 IYES NO <br /> BUILDER I <br /> I COMPANY I I <br /> SIGNATURE REGISTERED Y / N FEE C URRE� <br /> I Y/N I <br /> Address I License # I I <br /> ELECTRICIAN I COMPANY i I <br /> SIGNATURE REGISTERED Y / N FEE CURRE� <br /> I I I Y/N I <br /> Address I License # I I <br /> PLUMBER I COMPANY I I <br /> SIGNATURE I R EGISTERED Y / N FEE CURREN I Y/ N I <br /> Address <br /> 1 License # I I <br /> MECHANICAL I COMPANY i <br /> SIGNATURE I I <br /> REGISTERED 1 Y/ N i FEE CURREN I Y/ N I <br /> Address I 1 License # I I <br /> OTHER 7c/ <br /> SIGNATURE /= COMPANY I srs 7 F3(a j2o cue 1 — I <br /> REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address OJ ei) x Of S ,^ fj-z, y. r( j sc 7 1° <br /> 1 License # ( C C ° S - 7 9S - 7 <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 />