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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — j -(/ <br /> Phone Contact for Permitting <br /> Owner's Name ;E__ Aver i�irj .04 /14 ec :Car Phone Number <br /> Owner's Address 1 1;49-e; x / 3/ Owner Phone Number <br /> 31 Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r , 1 �� �� ��fr � LOT # <br /> SUBDIVISION PARCEL ID# f 2 " 21-00(0- V99.0-0000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ff ADD /ALT n SIGN 1 I MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Pei SFR 1 1 COMM n OTHER I <br /> TYPE OF CONSTRUCTION 1 J BLOCK 1 I FRAME n STEEL n OTHER 1 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I O BUILDING $ ve VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY L 1 W.R.E.0 <br /> 1 I PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ONO <br /> . r <br /> BUILDER COMPANY <br /> SIGNATURE / r � / � , 0 REGISTERED Y/ N 1 FEE CURRE� I Y/ N <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N _1 FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED J Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y / N 1 <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # I <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 />