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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received 0 <br /> D -- <br /> DD Phone Contact for Permittin • <br /> Owner's Name , (C.. / // Owner Phone Number X13 - 713 7/100 <br /> Owner's Address 5q3 ( / -est Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �] //� <br /> JOB ADDRESS 51,3 I _S G / / LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK / I I FRAME n STEEL I I OTHER I <br /> DESCRIPTION OF WORK /a C 1 , V 161 . Q oil <br /> BUILDING SIZE /000 S' SQ FOOTAGE HEIGHT <br /> 1 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n <br /> I 1 PLUMBING $ 9 <br /> MECHANICAL $ ✓ 6 �1 9 VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I 1 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N I <br /> Address 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 j FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> uiefstzyv ✓� <br /> SIGNATURE l/ REGISTERED Y / N I FEE CURRENT / I Y / N I <br /> Address 11:1) La/ 6 (t&S / l /u e'` License # , CI C 1 el ,S5 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N I <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) 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 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 />