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813 - 780 -0020 City of Zephyrhills Permit Application , Fax-813-780-0021 <br /> Building Department r t <br /> • <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name • r/E' /v o' 0 / ' / is ..." Owner Phone Number 8/3 7/3 ' Y <br /> Owner's Address <br /> !1 9 TA S--r t 9" Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 7 ti 5 ,i_ <br /> LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED iq NEW CONSTR ADD /ALT I I SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE w''' SFR I I COMM 1 I OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK I I FRAME I 1 STEEL n OTHER <br /> DESCRIPTION OF WORK & / ' <br /> L oP Pr: Jcxc i Fen C1,9 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ / 700 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ / AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS n ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES [ <br /> BUILDER COMPANY atviirr <br /> SIGNATURE /��� % �/� REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y1 N I FEE CURRENT I Y/ N I <br /> Address License # I <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 />