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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department ‘21 0 <br /> Date Reieived <br /> IA Phone Contact for Permittin • -- <br /> Owner's Name , /T B U( 7 Owner Phone Number <br /> Owner's Address 9 D 3 0 L 6-c-TI7 y h/6._ Owner Phone Number <br /> Fee Simple Titleholder Name j Owner Phone Number <br /> Fee Simple Titleholder Address p <br /> JOB ADDRESS 9f) L14 E 4 `, ✓6 LOT # <br /> SUBDIVISION // PARCEL ID# l 3 — 2 !° - / - 0/0P - 0000P 0330 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR n COMM I 1 OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I 1 STEEL n 1 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 'BUILDING /La VALUATION OF TOTAL CONSTRUCTION <br /> i (ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. <br /> IPLUMBING $ <br /> IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> IGAS ROOFING n SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURREI' 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURREI' 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY / f(//) <br /> SIGNATURE �) REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address PO , D 1( ) 3 P j 3 License # CO 0 W2_9/ <br /> Illltltllllllltllltttllllllllilllillllllilillllllltilltlttfiltlllllliflltltllillttllllltiilllllltltlilllllllilllllllllllllllltlilillltlllllll <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 />