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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department <br /> 1 9 L , <br /> Date Received 1 (— l Phone Contact for Permitting ✓ A 5, 1 -- M <br /> Owner's Name rlj(. j h Q �i u (w Owner Phone Number <br /> gi3 (13g -3gn <br /> Owner's Address l 1 1 ` St Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (O ? J O Q <br /> i .O" S+ LOT # <br /> SUBDIVISION PARCEL ID# 042-(0 — a ` - o I q o - 0(0000-04 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> OTHER <br /> I I �' i L /WWI <br /> PROPOSED USE I I SFR 1 COMM I <br /> TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME 1 I STEEL 1 I OTHER 1 <br /> DESCRIPTION OF WORK ✓ 0/1A1 Q Kit / Ak bald- <br /> BUILDIN <br /> G SIZE "5Q FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL <br /> r ---- AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.0 <br /> I 1 PLUMBING $ Q 7 <br /> 0 MECHANICAL $ 3700 � oQ VALUATION OF MECHANICAL INSTALLATION // �/ <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER 1 COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y/ N I <br /> Address License # r !1 <br /> MECHANICAL / COMPANY MI S f A /C w � etA <br /> SIGNATURE / <br /> TURE REGISTERED I Y/ N I FEE CURRENT I Y y N I <br /> t C <br /> Address I a a 3 a 'w J + 0 1 - hC 335 License # CAco 5b 5 q5 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I `ON I <br /> Address License # 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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-0-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 $5000) <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 Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />