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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received • – /' ' 0 Phone Contact for Permitting -- <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address , Q <br /> JOB ADDRESS t- Q.Pd -7# / L LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 I FRAME I I STEEL 1 1 OTHER I I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> •••• <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ (--' ,E' ,/ <br /> J <br /> I j, MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I — I NO <br /> '/ COMPANY Cf 2 ep k G f-kt <br /> BUILDER � 1(S I S:2(. S r �t Lt �)'1 �f�'/fL <br /> SIGNATURE (J REGISTERED I Y/ N /I FEE CURRENT I Y/ N I <br /> Address License # I <br /> ELECTRICIA `n – COMPANY �@.Q4� L'.lq`2 "; c J I �+/lG_ <br /> SIGNATURE S�J� \'- -�tJ�- REGISTERED l Y/ N I FEE CURRENT I Y/ N I <br /> Address `•O•i)e,)^F TO- Z- VaLl V- L -51S31 License # 13 <br /> + r <br /> e - COMPANY <br /> S' � <br /> SIGNATURE -- v� REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> . 0 .. pOZ <br /> Address License # <br /> MECHANICAL COMPANY V/ 1 � Z f� / " " /�� C <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/ N I <br /> Address /2 License # l g-L, <br /> t <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. (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 />