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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department .' 13 ZS <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name - J Uf /l/ h V Owner Phone Number <br /> 5 Owner's Address � / 5 T Z (0 /2-e✓ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS tJ �Z ( / S T LOT # <br /> SUBDIVISION PARCEL ID# 1) " Z ` - Z (— D co / D D 7 A DD -- 0/6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR pl ADD /ALT I 1 SIGN n MOVE I-1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Imp 1 SFR I 1 COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME 1 1 STEEL I I OTHER I I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 5 -P° 0 u`A VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ / ' AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS Imo 'ROOFING I I SPECIALTY [1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES [1NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT l Y / N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT l Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED l Y/ N 1 FEE CURRENT l Y/ N 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY 6 / t) /I' / <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N 1 <br /> Address l + 7 I O X 730 3 )%6 C/7 /L- 1 License # 1 Rc 00 vii ) <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />