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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received ( - c Phone Contact for Permitting <br /> Owner's Name !/ ^ Owner Phone N ber #1 - 5) J 3 ^ O 1 G q _ <br /> Owner's Address S 4 ? 44- S a 2- [.6'L1rt , / S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address r <br /> JOB ADDRESS )/ C `(1 4 ..c) • z_ (� s F- LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT 1 I SIGN n 1 I DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE I SFR n COMM I OTHER 1 <br /> TYPE OF CONSTRUCTION I 1 }c B - LOCK n FRAME 1 1 STEEL T <br /> � 1 <br /> DESCRIPTION OF WORK V t i- _ {� � /l C / 9 / ° /- 7 - <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY-1- I W.R.E. . <br /> I I PLUMBING <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / <br /> 1 (GAS n ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE � " - - REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # I <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />