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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 Permitting -- <br /> /wner's Name 1�i4'l .E.Ps� it- l r -� <br /> Owner Phone Number G O - <br /> / Owner's Address ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> /JOB ADDRESS `' 4 / G 8 LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR I 1 COMM I I OTHER I 1 <br /> TYPE OF CONSTRUCTION I BLOCK I I FRAME n STEEL n OTHER 1 I <br /> /DESCRIPTION OF WORK / Z Z / 4n-1i? / Zl Ai k. / <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 4/0®, C 0 VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY JR.E.0 <br /> I I PLUMBING $` <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 90 1/ <br /> I I GAS I 1 ROOFING 1 I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 INO <br /> BUILDER / COMPANY ( al/44- <br /> SIGNATURE ��aSALm, REGISTERED l Y/ N j FEE CURRENT I Y/ N 1 <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address ( l License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I \ NI I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 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 />