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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> - Building Department <br /> Date Received <br /> Phone Contact for Permittin • 1 ' f 5 <br /> Owner's Name / ( �jl// 7`: We 'GZjjj - r` Ck1Ut Owner Phone Number 7(--7.)22-.5 <br /> Owner's Address .V6955. 5" Zk via ' --iGi - F - ( Owner Phone Number , <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> G� j 2 <br /> JOB ADDRESS 5�� / // % 09,h 0G (S A . 55.` 2-- LOT # , <br /> SUBDIVISION , PARCEL ID #1/ 2' — Z / /4 ---- /> — ,a0 -- Oe2 «6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) pr <br /> WORK PROPOSED NEW CONSTR F�J • DD /ALT MI SIGN n I I DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE n SFR n COMM ( 1 OTHER <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME 1 I STEEL n 1 <br /> DESCRIPTION OF WORK / / ��, ,r / � l/ i L. _ .6 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I <br /> 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> (71 $ /� �� AMP SERVICE ( 1 PROGRESS E - - Y n W.R.E.C. <br /> (PLUMBING $ / <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLAT eN Mil) <br /> ■ <br /> Li GAS n ROOFING ri SPECIALTY ( 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREIN I Y/ N I <br /> Address I ^ <br /> a License # 1 <br /> ELECTRICIAN I 'n t1lr , COMPANY <br /> SIGNATURE ��// I / , REGISTERED I Y/ N I FEE CURREN. I Y/ N I <br /> Address / f" •,v eliffeg L iC,2 5 License# 9V 36 6 9 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address 1 License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I 1 License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt' I Y/ N I <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. (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 />