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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> Building Department <br /> Date Received Phone c- Co for Permitting -- <br /> Owner's Name '. �'Q / OW ` J 1� ite Ai Owner Phone Number <br /> Owner's Address 7.,97'6r*. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3' 77�� / �� � /' ` ` /' LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN 1 I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION BLOCK I 1 FRAME I I STEEL 1 1 OTHER I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE �_ SQ FOOTAGE HEIGHT <br /> TITTTTTTTTTITu _ . <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ "� AMP SERVICE /5V PROGRESS ENERGY I 1 W.R.E.C. <br /> =�� <br /> I 1 PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I 'NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address / License # <br /> // / e�/ � 75 {'f/V or zez - 7 - c c___, S IGNAT RE N COMPANY // (E SIGNATURE ,,./44,111r. <br /> REGISTERED FEE CURRENT / N 1 <br /> Address ) 7d /4€t2 7L, 1 , " .. _; 0 "c--- License # �� /� / r <br /> PLUMBER COMPANY - f <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N _1 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 />