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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- 78U -UU21 <br /> Building Department <br /> Date Received Phone Contact for Permitting ® -- <br /> II1111IIIIIII11Lt11LT <br /> Owner's Name IT /7 ^JS V .a G� Owner Phone Number / 0 `s a <br /> Owner's Address 3 76 ( I ✓ Owner Phone Number <br /> Fee Simple Titleholder Name 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 I SIGN 1 MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 1 COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION Fn BLOCK I 1 FRAME I 1 STEEL E 1 OTHER 1 I <br /> DESCRIPTION OF WORK /-3)'• eC JG '", 9 v C1 ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY r1 W.R.E.C, <br /> 1 1 PLUMBING $ '' , <br /> MECHANICAL $ c� VALUATION OF MECHANICAL INSTALLATION . -- 0 D <br /> I 1 GAS 1 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I 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 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address Licens <br /> MECHANICAL COMPANY X/ S i l 4r ✓ . / � <br /> SIGNATURE /� / REGISTERED 1 Y / N FEE CURRENT , Y / N I <br /> Addr - = 1 License# I //f B- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # 1 <br /> • <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 /> 0 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />