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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Illlliltllilili <br /> boo pi <br /> Owner's Name / r 1 L/i Owner Phone Number <br /> Owner's Address (37o/ �` ,4' � I Owner Phone Number <br /> Fee Simple Titleholder Name( <br /> ( Owner Phone Number (O /j -7 ' -- , 22 ^ 7e* <br /> Fee Simple Titleholder Address I ', <br /> JOB ADDRESS 1 'ci C �j # 4: // Lie I LOT # <br /> SUBDIVISION PARCEL ID #I • I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 1 OTHER I ( <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK A /' , I ft v LT 7 CPP ° C--- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 6 1 0 ,-$:_. <br /> AMP SERVICE I I PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address I License # <br /> ELECTRICIAN COMPANY / p � rizpsF £ I4 I <br /> SIGNATURE �� ,�r <br /> REGISTERED I / YI / N 1 FEE CURRENT 1 ( ?JN 1 <br /> Address ( License # 16e- avh9Z9 <br /> PLUMBER COMPANY <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 1 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-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 /> 1111111111111111111111111111111 <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 />