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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -002 1 Building Department <br /> Date Received WM /// / Phone Contact for Permittin • J / r _ ... <br /> .. <br /> , illh INIM V/ <br /> /1 D <br /> Owners Name � L / in/ <br /> I. 7 y ( (�(� Owner Phone Number ill O <br /> 8 <br /> Owners Address �(J j D 7 [J g C. // (/ 1t * / 8 7 Z Owner Phone Number (I 0 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> (� ��,// // /J / / <br /> JOB ADDRESS 3 ! 3 e' /((� / • 4/If/ 1/ //f/ f b 315 LOT # <br /> SUBDIVISION PARCEL ID# /VZ b 2.1 &VP a 2dd 6' i O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I AD R. = T I SIGN n I 1 DEMOLISH <br /> INSTALL 4111;i2GIIP <br /> PROPOSED USE I SFR n COMM 1 I OTHER <br /> TYPE OF CONSTRUCTION I ] BLOCK N��jj��� I —] FRAME I 1 STEEL r IZZlpfel E <br /> /" I <br /> DESCRIPTION OF WORK �/Pki(/ / €991 <br /> BUILDING SIZE SQ / FOOTAGE HEIGHT <br /> 1 IBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 IELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I1 W.R.E.C. <br /> li/ZPLUMBING $ /` Lig- <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS I I ROOFING [ ] SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> /// /, /� /1,I/J� /o COMPANY 4 / , i • / !lv / 1/ i - SIGNATURE PLUMBER &(L- � / =I J �I, (�(�C/ V 9 y REGISTEERRE , D I FE License# CURREN cite", J� J <br /> Address V# /7i /9 7f/ J /,if/J cite"/ wz,z <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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 /> • • 1 • • • V • • • V 1 I • • • v 1 1 1 • <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. (NC 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 />