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813- 780 -0020 City of Zephyrhills Permit Application pr Fax -813- 780 -0021 Building Department 4 q D1° Date Received if ��'�,.. Phone Contact for Permitting -- v. Owner's Name i/ Owner Phone Number Owner's Address 7 ( o 3 ______ / 1.. Owner Phone Number Fee Simple Titleholder Na /�'�' Owner Phone Number Fee Simple Titleholder Address 1 JOB ADDRESS LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN 1 1 MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR I I COMM I I OTHER I I TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME 11 STEEL 11 OTHER I I DESCRIPTION OF WORK BUILDING SIZE / SQ . • OTAG HEIGHT Z' ) _ maximmaxwmut 1 I BUILDING �lawm a VALUATION OF TOTAL CONSTRUCTION 6 Z 9 , I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY F W.R.E.C. I I PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �✓ I 1 GAS 1 1 ROOFING 1 1 SPECIALTY 11 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ri NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address I License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # I PLUMBER COMPANY 1 SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address I License # MECHANICAL COMPANY SIGNATURE 4 / REGISTERED Y / N FEE CURRENT Eirlil/�� Address / ARIW / License # 1 AO OTHER / // ! / COMPANY W�'i� G�Lri�� SIGNATURE ffi REGISTERED Y / 1 - E CURREN MEW _ - _i '.a_ 1 — Address =M�� _ �� - � r / � Lic ense # 02--- ■ RESIDENTIAL Attach (2) ' • Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum to 10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects 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. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (NC upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW 7p 1t