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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Receivgr 0 /-7/) Phone Contact for Permitting -- <br /> Owner's Name 0 S( f ,( ?,(c.A_J e Owner Phone Number <br /> Owner's Address ✓ o C e (> I L Ave Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 (2 f > (p f Ct 5 7.-e LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN i I I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR n COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK pi FRAME I 1 STEEL n 1 I <br /> DESCRIPTION OF WORK eectkk.2 , 1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL $ 1-0 v _ AMP SERVICE 2 cc) l -I" PROGRESS ENERGY 1 1 . W.R.E.C. <br /> I PLUMBING $ `3 <br /> '/I' P (MECHANICAL $ VALUATION `�" -�� <br /> ATION •F MECHANICAL INSTALLAT ON <br /> 1 (GAS I I ROOFING n SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA I (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address License # I <br /> ELECTRICIAN <br /> SO 410 COMPANY � c .7 71- C( .5S L vC G <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N <br /> Address 7( (3 / (c1 1 License# I CC 06)025 ?n <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREF i Y/ N i <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N ( FEE CURREN 1 Y/ N I <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 />