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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department <br /> Date Received f 0 , • /U Phone Contact for Permitting <br /> Owner's Name 004 D/ l e _ 46-- BM , Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 7 <br /> JOB ADDRESS 3 3 66,( LOT # <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR ri COMM ( I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I-1 FRAME I I STEEL I I t I I <br /> DESCRIPTION OF WORK ( a Q /1/ e V/ 1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I] W.R.E.C. <br /> (PLUMBING $ ._-,/ <br /> I (MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> I (GAS I I ROOFING [] SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I $YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI. I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> MECHANICAL .,,,/,/ / �I I y COMPANY / . , /J4, CSI C 7 7 <br /> SIGNATURE / ✓ REGISTERED Y / N I FEE CURREN 1 Y / N 1 <br /> Address I License # �A S t <br /> C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address 1 License # I <br /> • <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 NC Fences (Plot/Survey /Footage) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />