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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> ' Building Department <br /> Date Received ` 9/...../D <br /> Phone Contact for Permitting -- <br /> Owner's Name /' ✓ _ „9-/ , r' i • / , .. Owner Phone Number 7 8, r 76) C <br /> Owner's Address �� �® ' $ / / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <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 1 I SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 I COMM I I OTHER I, <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME I I STEEL I I OTHER I <br /> DESCRIPTION OF WORK 7� C / a. - 6Z2 ? /J ,s-- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 I W.R.E.C. <br /> I I PLUMBING $ '',� <br /> 1 I MECHANICAL $ / 2 �O � <br /> L � �J71 VALUATION OF MECHANICAL INSTALLATION I <br /> I I GAS I 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I I YES [ ]NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED l Y/ N I FEE CURRENT 1 Y/ N <br /> Address I License # l <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N <br /> Address - License # <br /> MECHANICAL /XQ e V �C C._ <br /> SIGNATURE -- T - ' COMPANY [ N Cam. /i,c� Yi r FEE CURRENT 1 Y / N 1 <br /> Address ip License # I / S Z <br /> OTHER <br /> COMPANY <br /> SIGNATURE REGISTERED 1 Y / N . FEE CURRENT I Y / N <br /> Address License # F <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 />