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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> _ Budding Department <br /> Date Received '--' Phone Contact for Permitting -- <br /> Owner's Name P Owner Phone Number <br /> Owner's Address 3 g""fv 3 3 ko � 4 " Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 6. 3 3 v7 ,t49-7/C- LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I 1 MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I-1 SFR 1 1 COMM I OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME 11 STEEL n OTHER I <br /> DESCRIPTION OF WORK ii' S c" / / / c-r �� EE --A. ( <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> L ELECTRICAL $ Sod e ,,._ AMP SERVICE /Q(7 1 1 PROGRESS ENERGY ,;. 'fl W.R.E.C. <br /> � <br /> 1 I PLUMBING $ g 1 3/ t <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /.._.__ <br /> I I GAS 11 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N 1 <br /> Address License # Q <br /> l <br /> ELECTRICIAN COMPANY leGT /' G C <br /> - (f'77 - <br /> SIGNATURE tido__ <br /> R EGISTERED r,._(z-,,,_T <br /> N FEE CURRENT I Y/ N 1 <br /> Address raw• ;` / - ` , L icense# E X3O f� 1f 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 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 />