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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received ® '� � - • , Contact for Permitting ( 7 -- 6 <br /> NEEINERE <br /> Owner's Name Mir ■1 Owner Phone Number <br /> Owner's Address 53 A 2 P,3 tT ( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS . 5 ` 3 -2, 3' LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT ( 1 SIGN n MOVE 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 SFR 1 COMM 1 ) OTHER I <br /> TYPE OF CONSTRUCTION I BLOCK f� ( I FRAME F 1 STEEL // , A , A, 1 1 OTHER <br /> DESCRIPTION OF WORK S W e/C. /� ( `1 (° . e,)Za C� �vt ei/ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE ( I PROGRESS ENERGY 1 1 W..R.E.C. <br /> PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLAT N q <br /> 1 GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER - - - - - -- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 1 N <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> COMPANY C/WZ( <br /> PLUMBER / /�� / �4� � ` / CIA4b;"( <br /> SIGNAT � � /� /G % / /if / /�L %� REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N I <br /> Address 1 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-0-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-0-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 />