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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received ' b-/.1- <br /> '" ( Phone Contact for Permitting – <br /> Owner's Name , Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <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 MOVE h DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR 1 1 COMM I I OTHER <br /> TYPE OF CONSTRUCTION I 1 BLOCK I 1 FRAME n STEEL I' I OTHER I I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> j� <br /> 1 PLUMBING $ /` r <br /> I I MECHANICAL $ VALUATION OF MECHA CAL INSTALLATJON <br /> I GAS I I ROOFING I I SPECIALTY 11 THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I, Y/ N 1 FEE CURRENT I Y/ N I <br /> Lic- -e # / Address 4 i:.....-■ / _ _ . i <br /> � ly,l I- ,• - , -, ,�i 1 <br /> E COMPANY ,, ` <br /> NGNATURE CTRICIAN "" '' REGIST R 9 1 / N I FEE CURRENT I Y/ N 1 <br /> 6 ir i, MWIsAI��� op 1 � v <br /> Address �, _ __ _ / License# I ii--P©az1 l <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I License # (— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <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 />