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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 /> IIIIIItI,IIuuIl /1 / <br /> Owner's Name O " 4, C �k Ir,���� Owner Phone Number % �o q (n 1 <br /> Owner's Address 4' � ,4 4 ,44 5i 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 SIGN I I MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME 1 1 STEEL n OTHER I <br /> DESCRIPTION OF WORK C44/.1 Ltnk F ,fC <br /> L-(^ <br /> BUILDING <br /> BUILDING SIZE eft FOOTAGE 3 HEIGHT (� <br /> BUILDING $ (� / SU 00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I1YES I�NO <br /> BUILDER � COMPANY /9C:04 f ( ( . 74 C <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y N I <br /> Address _ S1 ZA,v/.„ /(i f License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 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 />