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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department 1-' r^ LL -- t cI C 3rCk <br /> Date Received FaralliMMIll -- )'�' <br /> �/ Pho • Cont. ,t for Permitting <br /> Owner's Name I� / ff r I ,' e I Owner Phone Number )0 i Sivi 1 <br /> Owner's Address , r/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS , - LOT # NM <br /> SUBDIVISION / PARCEL ID# "' 1' ��✓/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION ( 1 BLOCK 71 f RAME 41 STEEL I 1 OTHER , <br /> E CRIPTION OF WORK <br /> 1,9 4/%1 "'r'" l Ds <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 I BUILDING IMINIMIll VALUATION OFT TAL CONSTRU ION <br /> ELECTRICAL "' • AMP SERVICE O I <br /> PROGRESS ENERGY _ , -_ I - - W.R.E.C. <br /> I 1 PLUMBING $ ,% <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO f 9 • 1 <br /> q <br /> 1 I GAS I 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INC) <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address / - <br /> 41 ' 1 ■ 4 / wiworwszr _ <br /> k iii <br /> ELECTRICIAN /+ a COMPANY <br /> SIGNATURE REGISTERED 1 Y N 1 FEE CURRENT / Y/ N I <br /> Address License # i D 0 ' � i � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # F <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. (AIC 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 />