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813 -780 -0020 City of Zephyrhills Permit Application 4 V / / , /� Fax- 813 -780 -0021 <br /> Building Department . 1 ( 1 <br /> Date Received �_ Phone Contact for Permitting 1 13 1 Lf -- <br /> . �� ,, - Owner Phone Number l3 -- 2,4 2 - l �� <br /> Owner's Name w I L��: � / <br /> Owner's Address 16 j i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # 77 <br /> SUBDIVISION !•�f� = `� f , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN pi 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR n COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 BLOCK [ 1 FRAME ( I STEEL 1 1 1 I <br /> - r if...t <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ _ AMP SERVICE 60" �ROGRESS ENERGY I I W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS 11 ROOFING n SPECIALTY 1 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 / N 1 <br /> Address License # <br /> ELECTRICIAN '/ - COMPANY ,jr ,, .. FA <br /> SIGNATURE ____ i� <br /> / „! — � j ` RE <br /> G! <br /> �,__ Y / N FEE CURREt Y / N <br /> Address 6 [ f a \� !� ���rL�� ,,e_ 5;5'25 License # 5 f 73 3 4 <br /> PLUMBER CO , •ANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREl I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N . I FEE CURREtN I Y 1 N I <br /> Address License # <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address 1 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 />