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813- 780 -0020 City of Zephyrhills Perm Application Fax -813-780-002 1 <br /> Building Department ffL) <br /> ot <br /> Date Received / Phone Contact for Permittin , — C <br /> Owner's Name j ^ �C i K y ♦ rd h Owner Phone Number /3- L/79- 0 7 13 <br /> Owner's Address qt c) 3 v 4- --, v c5-L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4 7 1 Ua3 C_kc,rA-- Si- LOT # <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR n COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION BLOCK n FRAME 1 I STEEL n I I <br /> DESCRIPTION OF WORK - At r'r( o ? hp -e �Qv /i L / (,) s . c�� r .�s ,Cj �� v <br /> 4 --.: . �i KJ'rtt <br /> BUILDING SIZE SQ FOOTAGE � 4 HEIGHT I `J �J <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> E LECTRICAL $ ( 5 . 0 AMP SERVICE 1 ( PROGRESS ENERGY n W.R.E.C. <br /> I (PLUMBING $ <br /> 1 $MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1GAS I ROOFING n SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N I <br /> Address I License # I I <br /> ELECTRICIAN COMPANY ---S17 E l -e e r <br /> SIGNATURE �(�,/9�I/`, (�) -C REGISTERED I Y / N I FEE CURREI' ( Y/ N <br /> Address I S3 E/t r t dv r t4- I ,c9 «, ( License # 1 E7Z /3G / 4 / ( a J <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREF I Y/ N I <br /> Address I License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREh 1 Y/ N I <br /> Address I 1 License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREh I 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 />