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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> . Building Department <br /> Date Received /..— — Phone Contact for Permitting -- <br /> , <br /> Owner's Name 4 7'". . I, F)- S c'A.'' Owner Phone Number Y I3' 7��� --61 °� <br /> �/ 6 <br /> Owner's Address _5-3 _j / - 7,a r 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 1 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL I I OTHER I I <br /> DESCRIPTION OF WORK 3 1 i3 N V� c C I a ©4 (/ / <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> 1 PLUMBING $ r <br /> , 41 q (i/7. <br /> ■ MECHANICAL $ ( cl 5, l VALUATION OF MECHANICAL INSTAL ION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License # <br /> / \ 4/ <br /> • ELECTRICIAN COMPANY / "'- C - ( 4 6 / c: - c C <br /> SIGNATURE M� �� /` • -- _. REGISTERED I Y / N I FEE CURRENT I Y al I <br /> / <br /> Address 5 6 4 ( ' (' 1 License # i _: , " = •_Z -- ‘-- 0a--5 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL ..- COMPANY J\ (1OS Z - / I ` C <br /> SIGNATURE C REGISTERED Y/ N FEE CURRENT Y/ N I <br /> Address 4 License # (j 2 <br /> i <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. (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 />