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. 813-780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> Date Received <br /> J Phone Contact for Permitting -- <br /> Owner's Name / eV C d - Owner Phone Number <br /> Owner's Address £ b / ( 6-1:21 g l/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address (J/ <br /> JOB ADDRESS �q (, C l/ f, LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME 1 1 STEEL I I OTHER I I <br /> DESCRIPTION OF WORK 5 \ ( O1 , �' �- I pl,,r�� C S _ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY F 1 W.R.E.C. <br /> I I PLUMBING $ Ati 7 , 7 ,--. q� 7 , - <br /> ' 1(29 <br /> " <br /> 1 I MECHANICAL $ (t j7 Ci VALUATION OF MECHANICAL INSTALLATIO 6 <br /> T 7 <br /> I I GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES n NO _ __ ry <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address <br /> 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N . 1 FEE CURRENT I Y / N I <br /> Address License # <br /> MECHANICAL C , ` 'C0 S �G i <br /> SIGNATURE REGISTERED YY / FEE CURRENT I Y / N I <br /> Address <br /> License # 4y ... <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />