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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received <br /> Phon I ontact for Permitting -- <br /> Owner's Nam: _,„AilLi �1/ BW , , Owner Phone Number <br /> Owner's Address 3 e) ze-0 ^ 0 / A I Owner Phone Number <br /> Fee Simple Titleholde . - ► . . �1� _ ,� Owner Phone Number iie <br /> i <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 1 SIGN 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 I COMM 1 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL n OTHER 1 1 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 I BUILDING $ ..-- - OF TOTAL CONSTRUCTION <br /> 1 I ELECTRI •AL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C, <br /> ,- <br /> 1 1 PLUM: NG $ ■ <br /> � <br /> A <br /> 1 1 MECHANICAL $ VALUATION OF MEC LAICAL INSTALLATION / A d <br /> 1 1 GAS I 1 ROOFING SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 11YES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I I License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y / N FEE CURRENT Y / N ,' <br /> • <br /> Address i Li. -nse # r►7 /' <br /> � iii � � <br /> OTHER FrAreAls-_-- , COMPA NY I'� %I ��,_ SIGNATURE �U� REGISTERED ma FEE CURR= llllllli�� r <br /> -AIM I s <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. (NC 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 />