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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department I- <br /> Date Received. — —!' Phone Contact for Permittine <br /> • <br /> Owner's Name 'lb J ' _ F- Owner Phone Number(' 1 3- 4- / Co t_5 - co ) <br /> Owner's Address 39 1 OD . cN J- f\O, Owner Phone Numbe <br /> Fee Simple Titleholder Name Owner Phone Number 1 I <br /> Fee Simple Titleholder Address 1 <br /> o <br /> JOB ADDRESS "- 05 <br /> �\J <br /> 5 L % l <br /> V\ ) LOT # <br /> SUBDIVISION 7 - 1 -0\M12_, \ ,ACtY\ \S I , PARCEL ID# J a ( / 00.10 0() O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT I I SIGN r n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [ SFR r] COMM I 1 OTHER I <br /> TYPE OF CONSTRUCTION rl BLOCK in FRAME 1 1 STEEL I 1 1 I <br /> DESCRIPTION OF WORK c--�OO� / ��/� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I V ILDING $ 2 )7u <br /> C C (, (/ I VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ AMP SERVICE 1 PROGRESS ENERGY r] W.R.E.C. <br /> 1 (PLUMBING $ <br /> r (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I IGAS rn ROOFING r] SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [] YES NO <br /> 9 .. <br /> P <br /> BUILDER \ s ` ` 0 COMPANY I � c) ,n E <br /> SIGNATURE �, A I.‘ ) REGISTERED V / N FEE CURREA 1 Y / N I <br /> Address ( License # 1 I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED l Y/ N I FEE CURREA 1 Y/ N 1 <br /> Address 1 License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREA 1 Y/ N 1 <br /> Address I 1 License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREA I Y/ N <br /> Address I License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREA 1 Y/ N I <br /> Address I 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />