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813- 780 -0020 City of Zephyrhills Perm Application i/, 2c Fax- 813- 780 -0021 <br /> • <br /> Building Department / J <br /> • <br /> Date Received 1 2 1 - (1 Phone Contact for Permittin! A " • # <br /> Owner's Name Wi tCawl y--- 1- 1{- -- ` - I�-til Y Owner Phone Number --. 29 Oc4 5 <br /> Owner's Address G /� 16 S' 'e -` Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS SfkW V LOT # <br /> SUBDIVISION PctrK R‘,1\ PARCEL ID# (:),..--,...6--.1 -0th _ ' j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR [] 1 ADD /ALT 1 SIGN n DEMOLISH <br /> INSTALL I I REPAIR Ke- -rod( <br /> PROPOSED USE SFR n COMM I I OTHER I <br /> TYPE OF CONSTRUCTION IX I BLOCK n FRAME I STEEL n I <br /> DESCRIPTION OF WORK ea" (y f re-ro p - c,01 sh t.ig{e3 Go1--k k - 01.€C S <br /> BUILDING SIZE SQ FOOTAGE pi U :s • A 3 HEIGHT 020 d ` C S <br /> BUILDING $ /' Soo (O VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> 1 (PLUMBING $ <br /> p <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I IGAS Xil ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA FIVES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N I <br /> Address License # I I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURREN I Y / N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . 1 FEE CURREN I Y/ N I <br /> Address 1 License # I I <br /> OTHER ..-- V <br /> COMPANY R n - f Y j SIGNATURE ��� /" � REGISTERED I / N FEE CURREN Y / N <br /> I <br /> Address • ( ti t e►' 4 License # I � t 1 ,S(3S <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 />