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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> If ( o f <br /> (I? 1 <br /> Date Received g Phon Contact for Permittin e - <br /> I IEI <br /> Owner's Name ,��° � Owner Phone Number <br /> Owner's Address 43,9 ( .4_)( S.( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# /s 26. W 0160-WOOD . 0316 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT I 1 SIGN n n DEMOLISH <br /> INSTALL I REPAIR <br /> PROPOSED USE n SFR n COMM i I OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME ST EL 1 / 1 <br /> DESCRIPTION OF WORK „--.'— <br /> BUILDING SIZE SQ rTAGE HEIGHT <br /> 'BUILDING I <br /> 1.- <br /> 'BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ ( AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ <br /> 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURREN I Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURREN I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address cense # <br /> OTHER <br /> i , COMPANY <br /> ■ <br /> SIGNATURE 0`�k, REGISTERED 1 Y / N 1 FEE CURREN Y / N / <br /> Address Intr i ; jam" License # <br /> _A. - <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 $7500) <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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />