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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0U21 <br /> Building Department Ct/ 2!S <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name ( <br /> ■ 9' w - i 5 Owner Phone Number <br /> Owner's Address c5 q 1 9 s l - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> OB ADDRES {! 1 9 i III' II s LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n MOVE I I DEMOLISH <br /> INSTALL V REPAIR <br /> PROPOSED USE I—X SFR I I COMM n OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL 1 1 OTHER I <br /> �G (� / ' <br /> DESCRIPTION OF WORK M rks j Mt i Lg- tic U-S ) C <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL ' <br /> $ — — __ _ S-0 AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I YES 1 (NO <br /> BUILDER d COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 41 , _ rj License # I I <br /> ELECTRICIAN S COMPANY AC mi (J v.) C ` . - <br /> SIGNATURE ` REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />