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813-780-0020 City of Zephyrhills Permit Application ; ,4b Fax - 813 -780 -0021 <br /> Building Department qo 3D <br /> Date Received Phone Contact for Permitting •- <br /> Owner's Name G 1 G h' + t C L Owner Phone Number <br /> Owner's Address / ( 7 `{ 411 / ; ,. wit -' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I " MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I I COMM 1 1 OTHER I " <br /> TYPE OF CONSTRUCTION I I BLOCK — I I FRAME he STEEL I 1 OTHER I I <br /> DESCRIPTION OF WORK �J / cJl- �C '«' " Q Lt� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ <br /> 1 1 1 MECHANICAL $ 1 VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I 1 ROOFING I 1 SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 "YES I1NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y / N I <br /> Address 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 I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address ( License # <br /> MECHANICAL -- C ( COMPANY // I ^ S G �� -' �✓ ' �c_ <br /> SIGNATURE REGISTERED I Y/ N7 11 FEE CURRENT I Y/ N I <br /> Address { i License # / Z, <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j 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 />