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813 -780 -0020 City of Zephyrhills Permit Application _ -813- 780 - 0021 <br /> Building Department . 1 (V V ~ 3 <br /> Date Received 2G /6, Phone Contact for Permitting -- <br /> Owner's Name 0)14A Owner Phone Number <br /> --- Owner's Address / 0 / frpr f Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 9 <br /> —JOB ADDRESS �J / LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 1 ADD /ALT 1 I SIGN I 1 I I DEMOLISH <br /> INSTALL n REPAIR <br /> -- PROPOSED USE SFR n COMM i OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK n FRAME I 1 STEEL L � 1 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE 2 HEIGHT <br /> (BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> 1 'ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS ROOFING [ SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREI' I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREP 1 Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURREIN I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREP I Y/ N 1 <br /> Address 1 License # <br /> OTHER / J r COMPANY <br /> SIGNATURE of P/ / C REGISTERED I Y / N 1 FEE CURREIN I Y / N 1 <br /> Address -$2L- t)rrfr,tf tJ / License # 1 2CC 1-3 c to 9 / "( <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 Attomey (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 />