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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received / -- v (� 3� 5 __ <br /> 0 Phone Contact for Permittin . �U <br /> /Owner's Name � / - -• ✓ Owner Phone Number , <br /> ( <br /> / <br /> ,/Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> .7 4OB ADDRESS ' ,. 5 I Z i 2 , < / ` , LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK ri F E f � I I STEEL F1 I I <br /> DESCRIPTION OF WORK . / f-' / 1 • ` r r" � ' r c <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �IELECTRICAL $ / C/ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 PLUMBING $ 1 <br /> 1 IMECHANICAL $ VALUATION OF MECHANICAL INST LATION 41 f I I <br /> 1 (GAS I I ROOFING n SPECIALTY I I OTHER ----- - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address ( License # <br /> r ` W <br /> ELECTRICIAN '"f( ii-(-'/- COMPANY fie/ v i firi' 1-ei <br /> - t <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI � I Y/ N I <br /> y / � 4 ' � <br /> Address I 1 License # 1 tN/ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y / N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> ' SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address , License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 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 />