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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department <br /> // ,fn7j _ / <br /> Date Received Ph • ne C tact for Permitting -- <br /> � „ / . ..: r � <br /> Owner's Name 2 / v Owner Phone Number <br /> J <br /> Owner's Address ���"� a . I er 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 1 I SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR 1 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK I FRAME 1 I STEEL I OTHER I <br /> DESCRIPTION OF WORK ,/� / �/ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY / -1-1 W.R.E.C. <br /> I 1 PLUMBING $ <br /> q 1 / i ' i / <br /> 1 I MECHANICAL / / VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS I ` ` ROOFING I 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELE ATIONS FLOOD ZONE AREA 1 IYES n NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED l Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N . 1 FEE CURRENT I Y / N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y / N FEE CURRENT Y / N '� <br /> Address I I ense # AIr ■ .10 <br /> OTHER G ENE ti a / / COMPANY �� � <br /> SIGNATURE I' v REGISTERED 11111Mal FEE CURREN Pg.' <br /> .. - Address � �_ t � � 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 />