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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department 4 1 b5 l 0 <br /> Date Received Phone Contact for Permitting l l -- <br /> Owner's Name `���t� /r L4 % ���i/�' � !� Owner Phone Number 3/3-7/0 <br /> Owner's Address I (/ , , _ _ , Z / / Owner Phone Number <br /> IP <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION ' �� ' / PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR i ADD /ALT I I SIGN ( ( I 1 DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE 1 1 SFR n COMM 1 OTHER <br /> TYPE OF CONSTRUCTION BLOCK n FRAME 1 STEEL 1 1 <br /> DESCRIPTION OF WORK 4 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> rt7lfrECTRICAL $ 23 _ AMP SERVICE (eQ r /Y PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 'PLUMBING $ � <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Z/ <br /> ■ <br /> GAS 1 I ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y 1 N 1 <br /> Address A AS License # <br /> r���i� ,, <br /> ELECTRICIAN � I m i g � COMPAN � elf <br /> SIGNATURE � <br /> , REGISTERED Y N FEE CURREP Y / N <br /> r1 - � i <br /> Address MOM I NAM.lJ � 5 Z-' License # .3" v,30 <br /> PLUMBER -� COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREt` 1 Y/ N <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURREI' 1 Y/ N 1 <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />