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813- 780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �j - / - �� Phone Contact for Permittin . -- <br /> Owner's Name Owner Phone Number i I U v C " <br /> Owner's Address (_V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS / /� " 1� LOT # <br /> SUBDIVISION PARCEL ID# e."" 3 _ 6 v r Do/ 0 -6162e) v- b " I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 S IGN n ( 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR El COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK FRAME 1 ) 1 STEEL 1-1 1 1 <br /> DESCRIPTION OF WORK 6 5 ,P CA /,/n)� /A F ,z ?T <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> VAI BUILDING $ �' O VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 PLUMBING $ <br /> ......... . <br /> 1 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS 1 1 ROOFING n SPECIALTY 1 1 OTHER J I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 YES NO <br /> BUILDER COMPANY 'I/ 0 t: <br /> SIGNATURE V _0.,4/4 ✓ - REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N J FEE CURREN 1 Y/ N 1 <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 $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 />