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813 - 780 -0020 City of Zephyrhills Permit Application rax-rs IJ- irsu -uuz l <br /> Building Department <br /> Date Received AO Phone Contact for Permitting -- <br /> /l Owner's Name ,, rLfl % Q � c� '� Owner Phone Number <br /> Owner's Address "/ M / ` I <br /> � i "� ', e r Phone Num <br /> Fee Simple Titleholder Na <br /> � one Number <br /> �s� , _ .� �� • <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORT( PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE I 1 DEMOLISH <br /> INSTALL REPAIR /•� <br /> PROPOSED USE I SFR • I I COMM I I OTHER I / I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I I ST L I I ETHER I I <br /> DESCRIPTION OF WORK - <br /> .3"-A4 BUILDING SIZE SQ FOOTAGE EIG ,T <br /> I BUILDING ' $ Q /C VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ p V AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> PLUMBIN $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <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 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 I <br /> Address License # T <br /> 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I Y/ N I <br /> Address Lic -.e# <br /> OTHER �, /, �— /� /— COMPANY 111= 11111111 . 1 1 '. r � � /� � <br /> SIGNATURE � I REGISTERED " <br /> FEE CU � <br /> Address 111WAIMMENIFFMAIIIIIIIIIM License # • <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building'lans; (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 />