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813-780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Budding Department <br /> Date Received /1 I/ r POI ° Pho 4 ontact for Permitting -- <br /> lEINE <br /> Owner's Name i 1� , / Owner Phone Number <br /> / <br /> Owner's Address 3 373 74,4/ � 7 Owner Phone Number <br /> Fee Simple Titleholder law" 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 I I NEW CONSTR I I ADD /ALT I I SIGN MOVE DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 11 SFR I I- COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 I FRAME I 1 STEEL 11 OTHER I I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> u BUILDING $ �f D - VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 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 COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT -all' <br /> Address _ _ _ <br /> OTHER / L - o se #� ��/� <br /> i ry'/ oSr / �� <br /> SIGNATURE p , . COMPANY REGISTERED L Y i I FEE CURRENT Y / N 1 <br /> Address j� % License 1 , �� License # <br /> R►� <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 />