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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> Building Department fq rf 5 <br /> Date Receil<ed 41 Phone Contact for Permitting �a t -- 4-97 7 <br /> IIIIItt11111111r���i <br /> F s av <br /> Owner's Name Owner Phone Number r , <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address L 1 C <br /> JOB ADDRESS 5 1,2 '[ ` � vt LOT # <br /> SUBDIVISION PARCEL ID# II —a6 _a 1— COI 0-0300-401 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I 1 MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION II I BLOCK I I FRAME I 1 STEEL 1 I OTHER I <br /> DESCRIPTION OF WORN c2 - n 4 ,L Pc< wte <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 J W.R.E.C. <br /> I I PLUMBING $ <br /> MECHANICAL $ 3 i o o . op VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING 1 I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 (NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I 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 I FEE CURRENT I Y / N I <br /> Address 1 License # <br /> MECHANICAL 01,11 S /"t <br /> / /C CQQ/{'{ <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/ N 1 <br /> Address License # CA 5 - <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I YIN I <br /> Address 1 License # F <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 /> 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />