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813- 780 -0020 City of Zephyrhills Permit Application Fax - 813 -780 -0021 <br /> Building Department ,, ,7 q <br /> Date Received o/C �o v Phone Contact for Permitting <br /> Owner's Name �%/ ,�_� �� Owner Phone umber ,o SS. 3'/ <br /> 111 <br /> Owner's Address / Owner Phone Num <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address (1 <br /> XJOB ADDRESS 663 ? g\ n\y c n C LOT # <br /> SUBDIVISION W 1 W C OC PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> XWORK PROPOSED x j NEW CONSTR ADD /ALT I 1 SIGN I 1 1 1 DEMOLISH <br /> `/ INSTALL REPAIR <br /> )(PROPOSED USE IN SFR 1 1 COMM I 1 OTHER 1 <br /> TYPE OF CONSTRUCTION 1 I BLOCK I] FRAME 1 1 STEEL I 1 <br /> x DESCRIPTION OF WORK Re �l A C e II \ Y Li w j R d �l1S <br /> BUILDING SIZE , SQ FOOTAGE 1 °\ n HEIGHT <br /> x I 'BUILDING $ 1 `) j p o O VALUATION OF TOTAL CONSTRUCTION <br /> 1 ( ELECTRICAL $ I `S l AMP SERVICE 1 I PROGRESS ENERGY I W.R.E.C. <br /> 1 'PLUMBING $ <br /> 1 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 'GAS l 1 ROOFING I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO <br /> BUILDER , � , 1 ' �U bn COMPANY <br /> SIGNATURE 411P. REGISTERED I Y / N FEE CURREN I Y / N 1 <br /> Address ( License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N ' FEE CURREI\ I Y / N ' <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI' I 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 />