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813-780 -0020 City of Zephyrhills Permit Application I A. 223 Fax -813- 780 -0021 <br /> Building Department f "1 J <br /> pate Received / P .ne Contact for Permitting -- <br /> re /5 � MOW � <br /> Owner's Name 4i Owner Phone Number <br /> Owner's Address , ( / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS '� t - • LOT # <br /> SUBDIVISION PARCEL ID# a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) I <br /> WORK PROPOSED NEW CONSTR ADD /ALT ( I SIGN ( 1 MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM ( 1 OTHER I 1 <br /> TYPE OF CONSTRUCTION n BLOCK I I FRAME n STEEL / OTHER I 1 <br /> DESCRIPTION OF WORK I ° 1-- & ,- /I ---- //&,,,,I/Y/' ' ` e- - � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTIO . <br /> ELECTRICAL /] /J��!�� P SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1 1 ROOFING I 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES El NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address / . A' <br /> ELECTRICIAN ! D COMPANY , ' j / L L. r i I , r <br /> SIGNATURE REGISTERED 1 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 /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N <br /> Address 1 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 />