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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813 -780 -0021 <br /> Building Department „ ! 9 5 y 2 <br /> Date Received Cj ( 09 Phone Contact for Permitting '169 -- ° 7 77 <br /> Owner's Name 1<4 -/ E t ` - Owner Phone Number k / 3 `/ - 7 ? 7 <br /> 77 <br /> Owner's Address b `( 3 ►t c Z 1 yf�<7.'(/s Owner Phone Number <br /> 3 35`/ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR El ADD /ALT I ] SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE al SFR 1 1 COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER 1 1 <br /> DESCRIPTION OF WORK �" �-"" d O <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ ( 5-„,c 0 °VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> I ( PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I 1 ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES [ NO <br /> BUILDER ' COMPANY ( ` I G 1 "� "Ft <br /> SIGNATURE ` -� . J-" l �' REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # • <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <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 $5000) <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 Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />