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813 -780 -0020 City of Zephyrhills Permit Application 4k I' I (ft5 Fax -813- 780 -0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittln: - <br /> Owner's Name (, ( 1 ' 1 . (f ( r; 4 f 6 Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address t � <br /> JOB ADDRESS 3 Z- -1 4 <br /> re9 9 c ( 4 d D 2 LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT ] SIGN n I DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE I SFR 1 COMM 1 I OTHER I I <br /> TYPE OF CONSTRUCTION ni BLOCK fl FRAME I I STEEL n 1 I <br /> DESCRIPTION OF WORK l ' 61 cfCA- C441 L147C <br /> BUILDING SIZE I I ,.SQ FOOTAGE' 7 i <br /> v I HEIGHT I fJ I <br /> (BUILDING IS l 3 57 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL I$ I AMP SERVICE I --- <br /> I I PROGRESS ENERGY I W.R.E.C. <br /> (PLUMBING I$ I <br /> I (MECHANICAL I$ 1 VALUATION OF MECHANICAL INSTALLATION <br /> (GAS 1 I ROOFING I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS <br /> I I FLOOD ZONE AREA i (YES NO <br /> BUILDER 4°1 COMPANY e �C e <br /> REGISTERED <br /> SIGNATURE I /4b I !/ �C 1 Y/ N FEE CURRE� Y/ N <br /> 1 I I <br /> Address 15 ,S 2 (�et WrQa/ Cpl License # I I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address I License # I <br /> PLUMBER I COMPANY <br /> SIGNATURE I REGISTERED 1 Y/ N FE E CURREf Y/ N <br /> 1 I I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURREI 1 Y/ N 1 <br /> Address <br /> 1 License # 1 I <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED 1 Y/ N 1 FEE CURREI 1 Y/ N I <br /> Address I I License # 1 <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 />