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813-780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department (b0 <br /> Date Received Phone Contact for Permitting ± <br /> • Owner's Name �■ i t A . s , •t,(i1VI0- . Owner Phone Number grS " .) t( <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7‘ Z. {. . LOT # <br /> SUBDIVISION PARCEL ID# • <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT ( 1 SIGN ( 1 MOVE ( 1 DEMOLISH <br /> INSTALL REPAIR f <br /> PROPOSED USE ( ( SFR ( ( COMM ( I OTHER ( 5n94 TASo. <br /> TYPE OF CONSTRUCTION ( ( BLOCK ( ( FRAME ( 1 STEEL 1 1 OTHER 1 <br /> DESCRIPTION OF WORK � .� C,t't v.% W" kieAaI . <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> ( ( BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ D-0 AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> ( ( PLUMBING $ v V V �/ <br /> ( 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ( ( GAS 1 ( ROOFING 1 1 SPECIALTY ( ( OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES 1 (NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y / N ( FEE CURRENT ( Y / N 1 <br /> Address License # <br /> ELECTRICIA ft �� I COMPANY S!' G t `t' • cs,.l ‘I Y / N 11y1[ . <br /> SIGNATURE Y> REGISTERED ( Y / N ( FEE CURRENT <br /> Address A.O. 04),(16a • Z-L Jle 7 - 5353 di License# tr'CC OPt3S3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED ( Y / N ( FEE CURRENT ( Y / N ( <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED ( Y / N ( FEE CURRENT ( Y / N ( <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED ( Y / N ( FEE CURRENT ( Y / N ( <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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-0-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 />