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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department i i I180 <br /> Date Received <br /> " <br /> Phone Contact for Permittln e – <br /> Owner's Name CC y & Zi y,-4, / J Owner Phone Number <br /> Owner's Address / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 6C 1 ` y <br /> l ( f f elk O /1 f Ace LS /5 LOT # <br /> SUBDIVISION Alpliq Ut 1( /9e PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT I 1 SIGN I] [ DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I] SFR I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I FRAME I � r ! / L 1 STEEL I I I <br /> cf c k r� . k <br /> DESCRIPTION OF WORK Gts/ - CC � <br /> BUILDING SIZE ( I li FOOTAGE ( 1zO r I HEIGHT (Q <br /> (BUILDING $ ZOOS <br /> VALUATION OF TOTAL CONSTRUCTION <br /> IELECTRICAL I$ I AMP SERVICE I I PROGRESS ENERGY I—I W.R.E.C. <br /> I (PLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I (GAS I I ROOFING [ SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA I (YES NO <br /> BUILDER 06 COMPANY CA t 4(4 C L <br /> SIGNATURE REGISTERED Y / N 1 FEE CURREE I Y / N <br /> Address 7S [ as- f Y°Opi 1-ii) License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N I <br /> Address I License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address <br /> 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y / N I <br /> Address License # I <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 />