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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department <br /> • <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name / (174/ ° � Owner Phone Number <br /> Owner's Address 3 7-sS C-- 015 lire -- Owner Phone Number <br /> r I C r � <br /> Fee Simple Titleholder Na , - -- \ ` Owner Phone Number <br /> 1 ( <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 SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR 1 1 COMM I ) OTHER I I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME 1 I STEEL 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK -,E.- t7 " <br /> BUILDING SIZE / SQ F /AGE ` HEIGHT <br /> I I BUILDING r �� �^ <br /> � .� l Q --t"' VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ I AMP SERVICE 1 1 PROGRESS ENERGY pr, , .- .E.C. <br /> I I PLUMBING $ n l+! <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES nINO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I Y 1 N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE , ' , ! REGISTERED Y / N FEE CURRENT ria ' <br /> Address ���� / License # -- <br /> OTHER - ,it,/ COMPANY �1�� ' �_� -■ <br /> SIGNATU -''��� =` jr ` / / REGISTERED - mum FEE CURRENT `,�' <br /> �wwm r <br /> Address g ��� _ 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />