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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department 4 <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name A d / AMMO'' Owner Phone Number Mi�i MOP <br /> Owner's Address E L Ir /ISSI�lI�. ►fG�il C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address , (;) JOB ADDRESS 7 3 C ( 0 7 (i✓ ° �`y� � v ( ( LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Et ADD /ALT I SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE <br /> SFR I I COMM 1 I OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I FRAME I STEEL I I OTHER 1 I <br /> DESCRIPTION OF WORK ( A Q /J P (_�' l� (, p- p_7: zy <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ <br /> AMP SERVICE I 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> I ( MECHANICAL IffillpME VALUATION OF MECHANICAL INSTALLATION <br /> I ( GAS 1 1 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 I <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT / I Y N I <br /> Address License # ofC. / /5 7 / <br /> MECHANICAL �� 'i COMPANY // / �' , ' <br /> SIGNATUR ' /j ' ( . (z 4' � REGISTERED Y / N FEE CURRENT Y / N <br /> Address / ,L License # a - 71 KY <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 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 />