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813- 780 -0020 City of Zephyrhills Permit Application FaX 813-780-0021 <br /> Building Department �' <br /> f►3 <br /> Date Received' <br /> Phone Contact for Permittln <br /> Owner's Name Fra V S btAY-r31 I y►-)t 1 n >l Owner Phone Number TS 3 4 . 75 <br /> Owner's Address W l JH 1 (o —� S Qom .- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Sc■ O LOT # <br /> SUBDIVISION PARCEL ID# oc.0 CU SO cCCM — 01 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT 1 1 SIGN 1 1 1 1 DEMOLISH <br /> INSTALL I I REPAIR R , Q <br /> PROPOSED USE 120 SFR I COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I -1 BLOCK El FRAME I 1 STEEL n I <br /> DESCRIPTION OF WORK O' ' re --( C)C1 U.l si') "1 f f Q--S <br /> BUILDING SIZE SQ FOOTAGE c( 515 HEIGHT <br /> 1 (BUILDING $ c3 CA 00 • CY VALUATION OF TOTAL CONSTRUCTION <br /> v <br /> 1 'ELECTRICAL $ AMP SERVICE 1 PROGRESS ENERGY ni W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS ROOFING El SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address I License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address I License # <br /> ()THEN � COMPANY Rl n R Cx9c` V �- <br /> SIGNATU - , `�„� A ,r- REGISTERED E `Y / N FEE CURREN / N 1 <br /> r ! <br /> Address j�c.* ��j rj -1 2 h ►-L1 t IIS 1 License # 1 C <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 wl 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 />