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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting – <br /> Owner's Name Owner Phone Number I 3 - 0 1 - la 1 5? <br /> Owner's Address (0 at kt.A L _ .. )h 3 d Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address [ fl <br /> JOB ADDRESS �l,i'Y`R ) lJr✓1h t ' �3 (o2,1 - I 4O C� ,-- LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT Li SIGN I MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME I STEEL I OTHER 1 <br /> DESCRIPTION OF WORK I C ; cif, - t Y $ i) £Q4 Y(,.t, CJ1 e OLift- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $,„.7, O b VALUATION OF MECHANICAL INSTALLATION <br /> l <br /> GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 YES nNo <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 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL f c : \ , COMPANY Teich ( 1 7 1 I Y/N <br /> SIGNATURE REGISTERED I Y / N FEE CURRENT <br /> Address 1 b? 14 N 7 License # C (' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />