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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department I .1 1/ <br /> V <br /> • <br /> Date Received � / L ' ( Phone Contact for Permittin — <br /> Owner's Name S Owner Phone Number 35d - 9q- 196 Z <br /> Owner's Address Col / � � at KI S Iv1 . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ycN{ S } V e Zep ` 1Zj i / is ' i ' LOT # <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED lq NEW CONSTR F ADD /ALT ! ! SIGN r n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR n COMM OTHER 1 <br /> TYPE OF CONSTRUCTION [ BLOCK r7 FRAME /� 1 STEEL El ! <br /> DESCRIPTION OF WORK f IC LQ t - b 10.r'VS -0 Ct.4 ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 1 <br /> I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 11ELECTRICAL $ AMP SERVICE ! 1 PROGRESS ENERGY ri W.R.E.C. <br /> 1 !PLUMBING $ <br /> M.-MECHANICAL $ ,3Lt VALUATION OF MECHANICAL INSTALLATION <br /> 11GAS pi ROOFING n SPECIALTY ( 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1 YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED ! Y/ N . 1 FEE CURREN 1 Y / N ! <br /> Address I License # 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED ! Y/ N ! FEE CURREN ! Y / N 1 <br /> Address I 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED ! Y / N ! FEE CURREN ! Y / N ! <br /> Address 1 License # <br /> MECHANICAL COMPANY ( /f TP <br /> I et CJ') S t /z v i C.(S L r- C ' <br /> SIGNATURE ,* ' REGISTERED ! Y / N ! FEE CURREN ! Y / N ! <br /> Address I ' BO (i 2_ Ze t k nh i! t s ft 33 License # 1 (4T C /ill s t/S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED ! Y / N 1 FEE CURREN ! Y / N ! <br /> Address 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. (NC upgrades over $7500) <br /> ** Agent (for the contractor) or Power of Attomey (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 />