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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department /10r0 <br /> Date Received / Phone Contact for Permitting <br /> Owner's Name C jA, c / 1 " �- (2 �- C Owner Phone Number 53(3 <br /> 3 7a41 V0 4, <br /> Owner's Address C C / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / Q <br /> JOB ADDRESS r 7 a v / ' `' LOT # <br /> SUBDIVISION PARCEL ID # ''Z� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED E NEW CONSTR ADD /ALT I I SIGN I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR I I COMM I OTHER I <br /> TYPE OF CONSTRUCTION I-1 BLOCK I I FRAME I II STEEL n OTHER <br /> DESCRIPTION OF WORK L� S�orA <br /> BUILDING SIZE X /R SQ FOOTAGE I / C Q HEIGHT <br /> BUILDING $ / p /7 / a S VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ ( O AMP SERVICE I I PROGRESS ENERGY n W.R.E.0 <br /> 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 1NO <br /> BUILDER V ` 1 COMP NAY Cof1/4.lS ot(cL rei) rrlDc {14 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address 3 /6 ( 11i-L- &LI-'J License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <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 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 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 NC Fences (Plot/Survey /Footage) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />