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813 - 780 -0020 <br />City of Zephyrhills Permit Application <br />Building Department <br />Fax - 813 - 780 -0021 <br />Owner's Address �� p 1}� / �i%��E� ZrJ�/r �CLS Owner Phone Number <br />Fee Simple Titleholder Name Owner Phone Number <br />Fee Simple Titleholder Address <br />JOB ADDRESS l�Q <br />.� <br />�j �"�T �7�- 2 �- X V A /LG s 1 j�j�l7l� LOT# E= <br />SUBDIVISION <br />PARCEL ID# <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED <br />NEW CONSTR <br />STALL <br />0 APD /ALT <br />EPAIR <br />SIGN Q Q DEMOLISH <br />PROPOSED USE <br />= <br />SFR <br />0 COMM = <br />OTHER <br />TYPE OF CONSTRUCTION <br />= <br />BLOCK <br />= FRAME u <br />STEEL = <br />DESCRIPTION OF WORK <br />/ <br />A 1'2LACZ- T <br />y %�f, o a <br />WN <br />BUILDING SIZE <br />SQ FOOTAGE= <br />HEIGHT <br />(BUILDING <br />$ <br />VALUATION OF TOTAL CONSTRUCTION <br />=ELECTRICAL <br />$ <br />AMP SERVICE <br />= PROGRESS ENERGY = W.R.E.C. <br />=PLUMBING <br />$ <br />� e5,3 <br />iJ <br />=MECHANICAL <br />$ <br />VALUATION OF MECHANICAL INSTALLATION <br />=GAS <br />= <br />ROOFING <br />= SPECIALTY = <br />OTHER <br />FINISHED FLOOR ELEVATIONS <br />FLOOD ZONE AREA <br />=YES NO <br />AUILDER <br />r% <br />� <br />OMPANY <br />,,.���.p �Sv <br />O7z"I° <br />IGNATURE <br />REGISTERED <br />FY/ N FEE CURREN I Y / N <br />Address .I o y3 /,-r S/ 'f✓ License# <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURREN <br />Address License # F—_ <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURREN Y / N <br />Address License # <br />MECHANICAL COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURREN Y / N <br />Address License # <br />OTHER COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURREN T Y / N <br />Address License # <br />Ift <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 />