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813 - 780 -0020 City of Zephyrhills Permit Application /0 <br /> Building Department l <br /> Date keceived P •- Conte ;air itting -- <br /> .. I.I. %OM, <br /> Owner's Name ,���� �_r L ► A ��� - ner Phone Number <br /> Owner's Address r, %`� ���. ,��� Owner Phone Number <br /> •1111111111INPII WAN. <br /> Fee Simple Titleholder Name fr <br /> . � • ,J1 er 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 1 1 SIGN In In DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Ti SFR n COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 FRAME 1 1 STEEL n 1 1 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE S OTAGE HEIGHT <br /> 1 BUILDING $ C q 0 _ VALUATION OF TOTAL CONSTRUCTION <br /> 1ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY in W.R.E.C. <br /> 1 (PLUMBING $ <br /> nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS 1 1 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES 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 1 FEE CURREN 1 Y/ N 1 <br /> Address 1 License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N J FEE CURREN 1 Y/ N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREIN 1 Y/ N 1 <br /> Address icense # <br /> OTHER � �� COMPANY rI,�� I �%'Afi► <br /> SIGNATURE b � �`/ / REGISTERED 1 ®M FE CUR' EN ®W/ <br /> Address I^ .� ` ' License # <br /> !If Bl�It llllInTOPpl1.111" <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 />