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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> � v <br /> Date Received 6 Phone Contact for Permitting -- <br /> 1g i ?�j <br /> r's Name _ v Owner Phone Number <br /> G{!� Wig*7 3'1 </J <br /> Owner's Address //�7- l�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS — -y LOT # <br /> SUBDIVISION PAf�9ELIDJ�� /9 1� oC/ -f%0�0 <br /> - __r- (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 11 SFR [ 7 COMM n OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1] STEEL n OTHER 1 I <br /> DESCRIPTION OF WORK v 7(, /''A . ME s , 1, r <br /> ' //3 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> -- } - I BUILDING $ go (/ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY ,,t-- ` [ W.R.E.C. <br /> s <br /> I I PLUMBING $ ,c0-- +- J <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f �1 0 <br /> l <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES I - I NO <br /> IF AMP' BUILDER r COMPANY e �fi ' �I / � v �" J <br /> SIGNATURE ' RE GISTERED I Y J FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y/ N 1 <br /> Address I 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N j FEE CURRENT I Y/ N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # I <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 />