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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received ' (L) Phone Co. act for Permittin • -- <br /> Owner's NameA/�� MIllr L _ Owner Phone Number <br /> Owner's Address ti; - Owner Phone Number <br /> Fee Simple Titleholder Namee ` � — 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 I 1 SIGN [ MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I I COMM [] OTHER <br /> TYPE OF CONSTRUCTION 1 1 B, K � I FRAME I I TEEL I1 OTHER <br /> DESCRIPTION OF WORK Ai/A . ‘ L <br /> BUILDING SIZE /SQ FOOTAGE HEIGHT <br /> BUILDING $ ,o VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ / AMP SERVICE 1 1 PROGRESS ENERGY [7 W.R.E.C. <br /> I I PLUMBING $ L /0 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO <br /> I I GAS 1 1 ROOFING F 1 SPECIALTY [ OTHER ~-- - - - -- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES [J NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y / N FEE CURRENT 11M2 <br /> Address cense • • �,� — <br /> L i <br /> OTHE�R.�y�. i , ,, COMPANY � � /• ���'� / V AMMO, <br /> SIG /::ilr ��I I av : REGISTERED Ifforr FEPr R• ' raa. <br /> Addre 1111L License # <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 />