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813 - 780 -0020 City of Zephyrhills Permit Application , Fax -813- 780 -0021 <br /> Building Department ¶5 9 5 r <br /> Date Received 2o D Phone Contact for Permitting 0 (3 7 6 Z -- 65(' 5 <br /> Owner's Name )111/kir1 Owner Phone Number <br /> &Owners Address 3g75 4- 07vi4, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> C JOB ADDRESS �Q C -- — LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> p� WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I ( BLOCK //� 1 1 FRAME 1 1 STEEL 1 I OTHER I <br /> plDESCRIPTION OF WORK X /0 „ 1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 1 I j 75 9 3 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ / AMP SERVICE 1 I PROGRESS ENERGY El W.R.E.C. <br /> 1 I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES pi NO <br /> l° <br /> BUILDER rn t � `� COMPANY 07)ne <br /> SIGNATURE �V 11 REGISTERED f Y/N I FEE CURRENT ( YIN I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <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 />