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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> • <br /> Date Recef 2d`' r /5 0 -- <br /> 1� Phone Contact for Permitting <br /> Own'er's Name ""/( /Uv/4 / j S.5 1 Owner Phone Number ' ' S 0; <br /> Owner's Address 3 c A kucc,.4) Owner Phone Number <br /> Fee Simple`Titleholder Name ,a Owner Phone Number <br /> Fee Simple Titleholder Ad <br /> JOB ADDRESS 3 P3 g 6 /( "to LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> c ). WORK PROPOSED IIII NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE I 1 DEMOLISH <br /> �►` INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM 1 I OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME 11 STEEL I I OTHER I I <br /> DESCRIPTION OF WORK �,�U{ S� Z e ,S/ 2 0 _ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> _ <br /> BUILDING $ I - /d © . C} VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ 7 AMP SERVICE I 1 PROGRESS ENERGY 1 1 W,R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1 1 ROOFING 1 1 SPECIALTY NI OTHER Lk) /N 605 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I 'NO <br /> r <br /> BUILDER � ` \V ( n � I COMPANY C ^�i <br /> 7tSIGNATURE 01. V( REGISTERED I Y/ N f FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <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/ N I <br /> Address 1 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 />