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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received . ,-i -10 Phone Contact f! Permitting -- <br /> -7 Owner Phone Number <br /> Owner's Name I �` �>r <br /> o , <br /> Owner's Address �/ ' / l Owner Phone Number <br /> Fee Simple Titleholder Na - t� , /' /firlki Owner Phone Number <br /> • r / <br /> Fee Simple Titleholder Address � JOB ADDRESS l to 2 - LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION t l BLOCK 1 1 FRAME 11 STEEL F OTHER I I <br /> DESCRIPTION OF WORK bfRrip <br /> BUILDING SIZE ) SQ FOOTAGE HEIGHT <br /> BUILDING P � / VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL AMP SERVICE I ( PROGRESS ENERGY I I W.R.E.C. <br /> 1 I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I - I NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <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 # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address / 1/ / License # , / � = <br /> OTHER ��� COMPANY , % � i ' F4 <br /> SIGNATURE ''�`�i % REGISTERED I Y N I FEE CURRENT 1 Y / / 1 <br /> Address ���1 r — , 4 License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -I- 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 />