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813-780 -0020 City of Zephyrhills Permit Application <br /> Fax - 813 - 780 -0021 <br /> Building Department 99q. #9 11 3 <br /> Date Received . A , , , Phone Contact for Permitting -- <br /> Owner's Name illIPAELNA61 Owner Phone Number <br /> V Owner's Address S r a r 0 ;, i - �/ Owner Phone Number <br /> Fee Simple Titleholder Nam - �_ ! ,,� Owner Phone Number <br /> r - /A <br /> Fee Simple Titleholder Address i <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 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I OTHER I I <br /> TYPE OF CONSTRUCTION I BLOCK 1 F I 1 STEEL I OTHER I I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ F t HEIGHT <br /> I I BUILDING %' $ (J / Q ? 0 VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY r ilsE.C, <br /> I I PLUMBING $ <br /> / *(� (R i/ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f ; r 0 <br /> I 1 GAS I I ROOFING SPECIALTY I 1 OTHER <br /> I)1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 NO <br /> ____.Y <br /> BUILDER COMPANY <br /> SIGNATURE R EGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y / N FEE CURRENT f <br /> i <br /> Address I / License Al 1111r,_ / moss <br /> OTHER ' I 'j , wall , , Iii <br /> ` COMPANY i1 �— ` J e ll <br /> SIGNATURE ` 15 �, ' � <br /> REGISTERED FEE URR T Q� <br /> Address 7 ► 1 Ifil y / - License # . <br /> mesa warm: <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 />