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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 Permittin. – <br /> •••• <br /> Owner's Name _ L /, /„ • Owner Phone Number <br /> Owner's Address r3s------, r Owner Phone Number <br /> Fee Simple Titleholder Name M. . /TEA, ,,/���� Owner Phone Number <br /> o p. ` _Am <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 I—I MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER I I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ F O E HEIGHT <br /> I I BUILDING '. $ 3 QI 0 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ ( (' AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y 1 N I <br /> Address License # <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y / N FEE CURRENT MEN <br /> Address 1 Licens: # 1111111/�� <br /> OTHER l COMPANY i ,� <br /> SIGNATURE // ' REGISTERED Y / N FEE CURRENT 1101M <br /> Address IIW A' : Tr 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 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 NC ' Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />