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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received /6° Phone Contact for Permitting I -- <br /> Owner's Name C / _ Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 9' T 9-1-/- -Z n 4 - E —24 Q Wrg Ht 11S LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN 11 I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 1 COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 I FRAME 1 I STEEL F OTHER 1 1 <br /> DESCRIPTION OF WORK An D f a- F-_ 00 O , ' (')U i $ ) P j or R (J i LO t I/ G <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I <br /> I 1 BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.C. <br /> 1 I PLUMBING $ <br /> I 1 y MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1 I ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 1 INO <br /> BUILDER <br /> COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> SIGNATURE C <br /> ELECTRICIAN <br /> e C e 1Jt COMPANY C L S £/ cT O ' <br /> ,427-y. REGISTERED I N I 1 FEE CURRENT 1 (,/ N I <br /> Address 1/.; 1 1) C oVi 'C ZU' ti ) Op trill F-1.-3 S25 License # -EC0OO'1 5a. <br /> PLUMBER <br /> COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . 11 FEE CURRENT 1 Y 1 N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 11 FEE CURRENT 1 Y / N I <br /> Address , 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) 1 <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 />