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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received ` 7 1 Phone Contact for Permitting <br /> Owner's Name I levL 7 )-06_p44.. 4. S e 1 0 0 ( Owner Phone Number <br /> Owner's Address S T d ? 5 Owner Phone Number er(e) y J — , 3 GP/ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ) S S LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADP ADD/ALT n SIGN I ( MOVE 1 DEMOLISH <br /> PROPOSED USE I 1 SFR I I COMM OTHER 11 I <br /> TYPE OF CONSTRUCTION I I�1 BLOCK ) 1 FRAME I I STEEL 1 OTHER 1 <br /> DESCRIPTION OF WORK / r � Z l r✓C sc (a v4, / /Z L ) / , � �. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> 1 PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS I 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 1 NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN 1 COMPANY 3 VOLA. <br /> SIGNATURE � w ` V „^ ' J J �`'�'')� REGISTERED dep N FEE CURRENT I Y/ N I <br /> Address 5,L/ rY{ J PY' /ect. 1-N ( F License# & ."-2 /3 I 3 <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 I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N <br /> Address License # F <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 />