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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 /> IIIIIIIIIIIIIII11 g <br /> Owner's Name < < <= • t 4 . - e rih 4 .c -c Owner Phone Number '5>/ 5 "7? 2 - J 5,1-3 <br /> Owner's Address } 7 3 / & `l 1 54 " 2 ' ' //s Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS L / h �� LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR n COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK ' I '1 FRAME I I STEEL ( I I <br /> DESCRIPTION OF WORK +-e... '�Lj <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> (BUILDING $ 7 5 d,, e'S VALUATION OF TOTAL CONSTRUCTION <br /> 'ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> IPLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 'GAS I I ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO <br /> --- � BUILDER �Z_ COMPANY <br /> SIGNATURE 7 .� /-- -- REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y / N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y / N 1 <br /> Address License # I 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 /> IItt111I11111111ItttIlt1I1111ItItI (IIIIIIIIIIIIIIIIIIt1111IIIllt H IIIIIIIIII1111111IIIIItttIIItIIIIIIIIItIIIIIl1ItIIIIII1111IIIIttIIIIIIIIIII <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is requ (A/C upgrades over $7500) <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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />