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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received - - D Phone Contact for Permitting -- <br /> mirisjiiiii <br /> Owner's Name �,W Owner Phone Number <br /> Al y' fife <br /> Owner's Address lor,o Owner Phone Number <br /> Fee Simple Titleholder NameIILIMEn`ffM Owner Phone Number <br /> I , <br /> ! <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I 1 COMM h OTHER I I <br /> TYPE OF CONSTRUCTION I I B• - I I FRAME STEEL I 1 OTHER I I <br /> i <br /> DESCRIPTION OF WORK .� - ‘ J. ii" ,I Z -� ir <br /> BUILDING SIZE SQ FOOTAG� `' HEIGHT <br /> �_ BUILDING •� , 0 R / J VALUATION OF TOTAL CONSTRUCTION -`, <br /> I I ELECTRICAL $ / AMP SERVICE I 1 PROGRE - - ENERGY. I1 .R.E.0 <br /> I I PLUMBING $ ,e / <br /> I 1 MECHANICAL $ VALUATIO MECHANICAL INSTALLATI • �/� <br /> I I GAS 1 I ROOFING SPECIALTY n OTHER qi/0 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES QNO \ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT Y/ <br /> Address . , <br /> •ice rii� Mir II; / ` cense #�:� <br /> OTHER , / / ,�/� , ' C OMPANY ' �as/ ' ,I� <br /> SIGNATURE , / /W ag& 0 .,/� l _ REGISTERED �t F r E CURRENT p %m <br /> Address I maird / at 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 />