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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department q 3v <br /> Date Received - 11 .0? Ai Phone Contact for Permitting -- <br /> Owner's Name �� /fie Owner Phone Number <br /> Owner's Address 3C;-( 7_,_ <br /> -, " Owner Phone Number <br /> Fee Simple Titleholder Nam • AC - ` _Ay .mss. Owner Phone Number <br /> r <br /> Fee Simple Titleholder Address <br /> LOT # <br /> JOB ADDRESS <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR ADD /ALT I 1 SIGN 1 1 MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME STEEL I I OTHER I I <br /> 0 t--- <br /> DESCRIPTION OF WORK • / <br /> BUILDING SIZE / SQ FOOTAGE HEIGHT <br /> BUILDING 7 $ ,,Z3 5D VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRIC* $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I 1 ROOFING I 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES fjNO <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 I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N 1 <br /> Address License # , <br /> MECHANICAL Ai COMPANY <br /> SIGNATURE / REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> _ <br /> Address �,�, _ . t License # _ _ <br /> �y , �. <br /> OTHER r COMPAN / I '' I SIGNATURE Y / N NT <br /> REGISTERED FEE CURRENT <br /> � yr <br /> II 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 />