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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department <br /> Date Received �, .- Z 3 -/ 0 <br /> A Phone Contact for Permitting ( ) -- <br /> Owner's Name V_ s «'.' ---e---'"" Owner Phone Number <br /> ■ <br /> Owner's Address S tr _w� / �� • ner Phone Number <br /> Fee Simple Titleholder Nam �l V�� �igig •wner 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 ri ADD /ALT 1 1 SIGN [ 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ( 1 SFR I COMM I 1 OTHER I <br /> TYPE OF CONSTRUCTION 1 BLOCK fl FRAME /STE - Q I <br /> DESCRIPTION OF WORK -AL , _` NIfiadir_ -`��- <br /> / <br /> BUILDING SIZE SQ f AGE HEIGHT <br /> I (BUILDING � <br /> 9 VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL ( AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> IPLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (GAS 1 I ROOFING SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 $YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address I I License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE ■ / REGISTERED Y / N FEE CURREN Y / N r ' <br /> Address k dallir <br /> I License # /�® <br /> SIGNATURE 2Affivfifr. <br /> / • � / COMPANY � MUM � REG ISTERED �. FE CURREN WADE P.- <br /> Address �� ���m��� 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 />