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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received _ _ Phone Contact for Permitting -- <br /> Owner's Name -%� ' <br /> " Owner Phone Number <br /> �r- <br /> Owner's Address 3 ( - <br /> .^ • wner Phone Number <br /> Fee Simple Titleholder Name ,`, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 10 1 <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 11 STEEL 11 OTHER I I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE fp . OTAGE HEIGHT <br /> I I BUILDING 9 $ 5 �n r ` V -1---- r } <br /> ]�- �/ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRIC' $ ( AMP SERVICE I 1 PROGRESS ENERGY I] W.R.E.C. <br /> I I PLUMBIN $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l 5 <br /> 2 11 <br /> I I GAS I I ROOFING SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N ] FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED l Y/ N I I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE / REGISTERED I Y N 1 FEE CURRENT 1 Y N I -Al <br /> Address ��L /�� /,:� � 1 <br /> OTHER i � COMPAN Y 1 , <br /> SIGNATURE 4 Ar REGISTERED I Y / , I FEE CURRENT I Y / N I <br /> iii■■■■� ai■ri <br /> Address3�I Whiff License # <br /> a <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 />