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813- 780 -0020 City of Zephyrhills Permit Application Fax - 813- 780 -0021 <br /> Building Department <br /> Date Receiveu rx r — /0 ‘ ' i 5733 <br /> � Phone Contact for Permittin • a5 <br /> Owner's Name 4iteltdACe Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address , <br /> JOB ADDRESS o2 ,-—/�� - 474,-, 25-�:�Jr LOT # <br /> SUBDIVISION PARCEL ID# \ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR n COMM I I OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME I 1 STEEL n I I <br /> DESCRIPTION OF WORK �_I _ — at / �� �/ _ _ � / _J / ■ i ., / , _ B / L'L _ ,i , '1'/ / C C. <br /> AV <br /> t <br /> BUILDING SIZE SQ FOOTAGE HEIGHT _ , <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 IELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> N O PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS I 1 ROOFING n SPECIALTY I 1 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 I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> PLUMBER 1/ COMPANY I\ ; L I. . // ice .., <br /> SIGNATUR �� U ' \ C 4. REGI STERED <br /> I &al FEE CURREN , MOM <br /> II <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 I Y/ N I FEE CURREN I Y / N I <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 />