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- 813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department //0L1(/ <br /> Date Received V <br /> !/A;�I 0 -) •-• yyr <br /> v Phone Contact for Permitting _ Q Z ` <br /> r r 1 1 1 1 1 <br /> Owner's Name ( ...1k QrY1 4 \ , Owner Phone Number <br /> Owner's Address (j 3 04-14S 3 f^ _ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C O 4 ° �c �r • LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED J NEW CONSTR _ ADD /ALT [] SIGN n n DEMOLISH <br /> INSTALL _ REPAIR <br /> PROPOSED USE n SFR In COMM I I OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK 0 FRAME 1 STEEL n <br /> DESCRIPTION OF WORK � <br /> ORK tr5}, <br /> u <br /> BUILDING SIZE l3 k Z3 SQ FOOTAGE l S q 1 HEIGHT / 0 <br /> nBUILDING $ 5,0-7 VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R. E. C. <br /> PLUMBING $ //► �(lJI J /�Z / <br /> E MECHANICAL /0d `- v I ((�' <br /> I I $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING 0 SPECIALTY 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER • COMPANY <br /> SIG <br /> SIGNATURE �� REGISTERED Y / N / N Y / N � FEE CURREN I Y / N <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N <br /> Address I <br /> License # <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address <br /> License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I <br /> License # <br /> 1111111111111111111111111111111111111 <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways.. needs ROW <br />