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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> _ Building Department J .: 5 - ) Date Received _ ! 7 I ` J <br /> Tr t r r r r 1 7 <br /> Phone Contact for Permitting q _ �t� ���{{{' <br /> Owner's Name Grid Ci Q / / Owner Phone Number Q 1 3 a <br /> 78 p . C) 'ft 1 <br /> Owner's Address 7050 ,( 1 S' rel Owner Phone Number <br /> Fee Simple Titleholder Name I <br /> 1 Owner Phone Number <br /> Fee Simple Titleholder Address / � <br /> JOB ADDRESS 17 C' D 1 1 z5 ti-7/ I LOT # 1 I <br /> SUBDIVISION I I PARCEL ID# I I g 2 b L/ V coc o Q/ a) 00001 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) }�,�� �,,(_ <br /> WORK PROPOSED 1 1 NEW CONSTR � ADD /ALT I I SIGN n I I DEMOLISH i��"/ _t-�l L� ' <br /> INSTALL n REPAIR <br /> PROPOSED USE n SFR n COMM I I OTHER I I /' . 2'1 e--- <br /> TYPE OF CONSTRUCTION r-7 B BLOCK Ii FRAME I I STEEL n <br /> DESCRIPTION OF WORK // `SG7 kL I /) s j /S )4 &ltM/ W F ^ ^ '(�L� �, /, ,!" 1 Jy <br /> BUILDING SIZE I I SO FOOTAGE I I `7 ! H I , /' I <br /> 1 (BUILDING I$ <br /> 1 VALUATION OF TOTAL CONSTRUCTION <br /> I IELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W. R. E. C. <br /> 1 (PLUMBING ($ <br /> 1 !MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> L_JGAS n ROOFING In SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I !YES NO <br /> BUILDER I COMPANY <br /> SIGNATURE I REGISTERED ! <br /> I Y/ N I FEE CURREN I Y/ ry <br /> Address I <br /> 1 License # <br /> ELECTRICIAN I <br /> SIGNATURE COMPANY <br /> REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address ( <br /> 1 License # <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address <br /> 1 License # <br /> MECHANICAL <br /> SIGNATURE COMPANY <br /> REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address I <br /> 1 License # I `) <br /> OTHER S // ® ,�� / ( L COMPANY Q A fire, h y Z7 <br /> SIGNATURE C 1 !� . (X / H-r/li v L REGISTERED I Y / N I FEE CURREN I Y / N <br /> Address ! tie Haida, Pa//,/ 6 License # i (/DQ /. / 't 2 <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 I 1 I 1 1 1 1 1 1 1 1 ct <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 />