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813-780 -0020 City of Zephyrhills Permit Application <br /> Fax - 813 - 780 -0021 <br /> Building Department <br /> Date Received /y '''' - D Phone Contact for Permitting — <br /> Owner's Name S 41 -£e- - P y //0//0 i✓ 4I d7', AAtc Owner Phone Number <br /> Owner's Address 1 ,3y 7 V/ oz s-€ C- Owner Phone Number I I <br /> Fee Simple Titleholder Namel Owner Phone Number <br /> Fee Simple Titleholder Address <br /> LOT # <br /> JOB ADDRESS <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 11 NEW CONSTR I I ADD /ALT I I SIGN I 1 MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM n OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER I I <br /> DESCRIPTION OF WORK G•JU (J 3 / t U 4C S / -Na `-- <br /> BUILDING SIZE SQ FOOTAGE �v2� `7 HEIGHT <br /> BUILDING $ 0 rj0 O o a VALUATION OF TOTAL CONSTRUC •N :. r <br /> / <br /> ELECTRICAL $ AMP SERVICE 11.1 PRO - - - war - . ® W.R.E.C. <br /> I I PLUMBING $ .7 4 400 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO a Q <br /> GAS 1 1 ROOFING I 1 SPECIALTY I 1 OTHER /,f <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ri NO <br /> BUILDER ` / COMPANY 1- L - 7 -0 ,- 1 — { l/� / ✓f F <br /> SIGNATURE �j,/`� R EGISTERED MM. FEE CURRENT NZ= <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N <br /> Address I License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I 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 />