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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> - Building Department <br /> /7— 9-'0/9 <br /> Date Received 4I / hh e 'act f.i' Permitting -- <br /> Owner's Name vMI/Millffaill Owner Phone Number <br /> Owner's Address / 0 . � r Owner Phone Number <br /> �� —r�� iii : ��r <br /> Fee Simple Titleholder Nam -14, ��� Owner Phone Number I <br /> Fee Simple Titleholder Address I� <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 1 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION ( 1 BLOCK _V RAME 1 1 STEEL rji OTHER I 1 <br /> DESCRIPTION OF WORK - -PP, <br /> / <br /> BUILDING SIZE L AIIII SQ FOOTAGE H = BUILDING r 1 v V �� VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 <br /> PLUMBING $ �y 1 g3 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO q 7 <br /> 1 GAS 1 1 ROOFING SPECIALTY 1 1 OTHER - -- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 YES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y / N 1 <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT l Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y 1 N 1 <br /> Address License # <br /> MECHANICAL COMPANY IS <br /> SIGNATURE REGISTERED Y / N FEE CURRENT A ©� ©/ <br /> Address / 1 se /_W' <br /> OTHER ..�� COMPANY �M�� �/���� <br /> SIGNATURE Y'� /# REGISTERED `1 I F' � CURR; T 4' Y / N <br /> Ad � � r r � _ Mr_ License # �r <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 />