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813 - 780 -0020 City of Zephyrhills Permit Application ; ; J <br /> / j I ' 2 ( Fax- 813- 780 -0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin s -- <br /> Owner's Name 41 t ,( Owner Phone Number - - i l - UQ S <br /> Owner's Address � 0 /a 0 C a r i i ✓1 d r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number 1 <br /> Fee Simple Titleholder Address I` \\ <br /> JOB ADDRESS 1 I2 3 t 3 i 1-61( Co rcice +ect 1 1 1 of ) LOT # <br /> SUBDIVISION PARCEL ID# --JJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN I n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR [) COMM I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I] FRAME I 1 STEEL 1 1 1 <br /> DESCRIPTION OF WORK +- <br /> BUILDING SIZE 00 X /5 SQ FOOTAGE 6 Oo X 15 HEIGHT <br /> liZBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 24 ELECTRICAL $ AMP SERVICE / 00 PROGRESS ENERGY 'I W.R.E.C. <br /> 1 'PLUMBING <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 'GAS Li ROOFING 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER ) V� COMPANY I , I <br /> �4 <br /> SIGNATURE REGISTERED Y /N FEE ✓ / a Lt‘ <br /> CURREN I Y/ N I <br /> Address - -----) License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address I 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />