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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department #/6 S2 -O <br /> Date Received c 7 ,, 5 ` l b Phone Contact for Permitting -- <br /> Owner's Name / � • + �Z� r� Owner Phone Number <br /> ` <br /> r_ Owner Phone Number re Owner's Address ( 0 l(J `— ��� <br /> t <br /> Fee Simple Titleholder Name ,""'1�' Owner Phone Number <br /> Fee Simple Titleholder Address 1 ) <br /> JOB ADDRESS +-f% 1 0 `P ( 2`0A ( - T --- LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 I 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 ST L I I I <br /> DESCRIPTION OF WORK ' `�` '—_ c; <br /> BUILDING SIZE SQ FO AGE HEIGHT <br /> 111111111111111111111111111111 11 It1111111111111t111111111111tii1111111111111111t1111111t1111111 <br /> I (BUILDING ' ¢ 4ro VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ t L ( � f AMP SERVICE I 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> !PLUMBING $ °.(i / <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (: t\ <br /> (GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY • <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURREN I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y / N 1 <br /> Address License # <br /> MECHANICAL COMPA Y <br /> SIGNATURE REpIS D I Y/ N I FEE CURREN I Y/ N I <br /> Address License # 1 <br /> OTHER 4 COMPANY f , /0 '+/ <br /> Iv ' /�_ / <br /> SIGNATURE r _ REGISTERED Y / I FEE CURREN Y / N <br /> Address ! (,T' 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 /> IIItIt11111I1111111111111111tIIIIt1111iiI11111111111111111111t111111111111111111111ttt1111111111f111I1111111I1111tlltlllllli <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 />