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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department (oc' 3 <br /> Date Received Phone Contact for Permitting , /3 1 - 2- <br /> ��� L. � . te.. ,. 21 - <br /> Owner's Name � � <br /> �� � � � Owner Phone Number �� <br /> Owner's Address 5 Y'1 G `gA e 2 (e-f- ( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # 7 <br /> SUBDIVISION • ! §Fat✓ (k` r , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CQNSTR Fr ADD /ALT 1 I SIGN I 1 I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR n COMM I OTHER I <br /> TYPE OF CONSTRUCTION BLOCK n FRAME I I STEEL 1 1 I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> LL (ECTRICAL $ 47 AMP SERVICE IsZ PROGRESS ENERGY I I W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 (GAS I I ROOFING I—I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED ( Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN irribf _ COMPANY 1, / ice SIGNATURE = �_ REGIS RED I Y / N I FEE CURREN Y / N I <br /> Address Q J ,A ��, Er /..Mil License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURREN I Y/ N I <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 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <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 />