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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received • hone Contact for Permitting -- <br /> Owner's Name FM MM.', Owner Phone Number <br /> Owner's Address l / Owner Phone Number <br /> .� <br /> Fee Simple Titleholder Name I/ , . / _ / Owner Phone Number <br /> it V <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 1 I 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR n COMM 1 I OTHER I <br /> TYPE OF CONSTRUCTION ( 1 BLOCK n F ME 1 I< STEEL n 1 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTA E HEIGHT <br /> I (BUILDING $ 7 , > f VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E. . <br /> IPLUMBING $ / <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI <br /> 1GAS 1 1 ROOFING n SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI 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 COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI\ I Y/ N I <br /> Address _ License # <br /> OTHER � / COMPANY <br /> SIGNATURE .�/%� <br /> REGISTERED Y / FEE CURREF Y / N 4 • <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />