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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> t `l <br /> Date Received Phone Contact for Permitting 13 G 6c/ <br /> S <br /> Owner's Name P 2 /4A/-42 y� Owner Phone Number <br /> Owner's Address °2q 4 .3'Z Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 ,d--t-Lt / LOT # <br /> SUBDIVISION PARCEL ID# 1 ' l [ > r-xD <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT 1 1 SIGN I 1 I DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE 1 1 SFR I 1 COMM 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK n FRAME 1 I STEEL I 1 1 I <br /> DESCRIPTION OF WORK •f" ' ` �f c 10)(11. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT / <br /> (BUILDING $ / 6 VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C. <br /> (PLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (GAS 1 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> I / ar c O 4Jc?t< <br /> BUILDER a 0e <br /> ...r N% COMPANY <br /> SIGNATURE ' Ar REGISTERED I Y / N 1 FEE CURREN I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address 1 License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREIN I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N FEE CURRE' i Y N <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I 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 />