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813 1 -0020 City of Zephyrhills Permit Application % /( bi Fax -813- 780 -0021 <br /> Building Department ( 1 <br /> Date Received <br /> Phone Contact for Permittin• – <br /> Owner's Name (7 r Z {/ ) t f Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 0 Et (ot /I Cl dl ( / C J 1-S -0 /9 LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT I SIGN 1 [ DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I FRAME I I STEEL n I I <br /> DESCRIPTION OF WORK 6 r ll (ack C40..' L1 - k <br /> BUILDING SIZE 1FOOTAGEI (r4 1 HEIGHT !? r <br /> I 'BUILDING $ / Li ( n <br /> s VALUATION OF TOTAL CONSTRUCTION <br /> ' ' ELECTRICAL $ ' AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> I IPLUMBING $ <br /> 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I ROOFING n SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES NO <br /> BUILDER COMPANY , k114 i f e4CC <br /> SIGNATURE REGISTERED " r Y/ N I FEE CURREN I Y/ N 1 <br /> Address ,57 ∎t� ' 4/ (s Aid 61) <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED ' Y/ N I FEE CURREN I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURREls 1 Y/ N I <br /> Address I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address <br /> 1 License # I 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 />