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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 - 0021 "t, �� `, `� <br /> �S �•{ <br /> Building Department <br /> ft (, I� Y <br /> Elate Received ' -14 0 Phone Contact for Permitting <br /> y <br /> Owners Name Y J O► 1C Owner Phone Number 1 IP • Ai <br /> Owner's Address LO u /o I, I �f C+ Owner Phone Number <br /> Fee Simple Titleholder Name 1 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 ,wokm LOT # NM <br /> ti <br /> SUBDIVISION bYt-41,000d PARCEL ID# TREMIIIMINEWMid <br /> (OBTAIN D FROM - ROPERTY TAX • OTICE) <br /> WORK PROPOSED NEW CONSTR iii ADD /ALT I I SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE In SFR 1 1 COMM I 1 OTHER I <br /> I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME n STEEL n OTHER I <br /> DESCRIPTION OF WORK _■ t' • `I _Lr I' • / , / ` �- <br /> BUILDING SIZE SQ FOOTAGE L J HEIGHT <br /> I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.C. <br /> X PLUMBING $ N Or w <br /> ( ( ` <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1 1 ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nIN0 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I j� \ \VVII ERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address �� License # li <br /> PLUMBER ' �/ y , I t <br /> SIGNATURE v /� Ik�1� „ j REGISTERED rano FEE CURRENT bump <br /> ump <br /> Address License # - `�ig I ; <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y 1 N I <br /> Address <br /> 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 /> ..................................... ............................... <br /> Directions: ........... .......•:::,:::::_..::..... ............... <br /> ........... <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 Attomey (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 />