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813 - 780 -0020 City of Zephyrhills Permit Application _ -,� Li ( Fax- 813- 780 -0021 <br /> Building Department 4-r ( <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name <br /> ,1,62 0 f Z c' Owner Phone Number <br /> (* f` 76' 3 / 53 7 <br /> �^- I <br /> Owner's Address I 7 � " a� S-..aa %-- C4 Owner Phone Number <br /> � Y <br /> Fee Simple Titleholder Name) I Owner Phone Number ( <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS I I LOT # I <br /> SUBDIVISION I I PARCEL ID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR I I ADD /ALT I I SIGN I 1 MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I 1 COMM n OTHER I 1 <br /> TYPE OF CONSTRUCTION I BLOCK I I FRAME n STEEL n OTHER I I <br /> DESCRIPTION OF WORK 3 (L � `LG _ e <br /> BUILDING SIZE 1 I SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ <br /> MECHANICAL $ <br /> 6/ 6 / d 0 , el' VALUATION OF MECHANICAL INSTALLATION <br /> GAS I 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L 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 1 <br /> License # <br /> Address I,/ <br /> , / 6CEt{i <br /> MECHANICAL COMPANY M `A (7; YeX 7 - ` - <br /> SIGNATURE /<� /'� REGISTERED I Y/ I FEE CURRENT I Y/ N I <br /> Address 1 ) / License # / $ D _2_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 1 License # n <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 />