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813-780 -0020 City of Zephyrhills Permit Application Fa - 813 -780 -0021 <br /> Building Department tr/' I 1 � <br /> � <br /> Date Received �--` 0/ r , Phone Contact for Permittin. _ <br /> Owner's Name CJ r) / f- a, / L s ?Ley Owner Phone N ber �/3 - <br /> Owner's Address 1 39 3975 C gill Ld r� <br /> 9 P Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �+" <br /> JOB ADDRESS 3975 � Co 9 Aid/ L00 , LOT # /e to <br /> SUBDIVISION PARCEL ID# 2--(- - 24 `mil - 003o-00000 - / T <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I SIGN I I[ DEMOLISH <br /> INSTALL r[ REPAIR <br /> PROPOSED USE I SFR [I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION [ BLOCK [ FRAME I 1 STEEL 1 ( I <br /> DESCRIPTION OF WORK ,/ 41u r» . °t /i eo <br /> BUILDING SIZE e X SQ FOOTAGE HEIGHT <br /> ✓)BUILDING $ /. /,1 4 6 VALUATION OF TOTAL CONSTRUCTION <br /> I (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I[ W.R.E.C. <br /> I (PLUMBING $ a Ws <br /> [MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 )GAS I I ROOFING fl SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [YES NO <br /> - <br /> BUILDER ,� ' ( �[ L4u COMPANY ✓ f <br /> SIGNATURE r/ ( � REGISTERED ( Y / N r FEE CURREN 1 Y / N <br /> Address I License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED ( Y / N ] FEE CURREN ( Y / N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED 1 Y/ N . 1 FEE CURREls 1 yin' ( <br /> Address I <br /> 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED ( Y/ N J FEE CURREN 1 Yin! 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 />