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813 - 780 -0020 City of Zephyrhills Permit Application Fax - 813 -780 -0021 <br /> Building Department IOst,) <br /> Date Received ' / 4 1 0 P • e Contact for Permitting <br /> '■ <br /> Owner's Name 771141 4— © Owner Phone Number <br /> Owner's Address � /4 � r `4.115 1 _ `. Owner Phone Number <br /> � t <br /> Fee Simple Titleholder Name . V ` � , _L 169 ,{j Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN 1 1 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR t l COMM 1 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME 1 I STEEL n 1 1 <br /> DESCRIPTION OF WORK 6Irt <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> (BUILDING IP ' $ �J O - vALUATION OF TOTAL CONSTRUCTION <br /> I 'ELECTRICAL $ i ' AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> (PLUMBING $ <br /> 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 'GAS IIIII ROOFING Li SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE ll REGISTERED 1 Y/ N 1 FEE CURREN Y/ N <br /> Address V Lice „ - ,,,. ,, , i <br /> OTHER ��� C OM PANY ���� �A ��� <br /> SIGNATURE va itii ly REGISTERED <br /> i��i�, K(© FEE CURR t pH. <br /> Address 01w / License # w' <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 fornew 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 $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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />