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813- 780 -0020 City of Zephyrhills Permit Application ` '7 Fax- 813 - 780 -0021 <br /> Building Department f / � / <br /> Date Received / — :7 2. ' — , v <br /> Phone Contact for Permittin - <br /> ` I v - <br /> Owner's Name �� ! i"/ Owner Phone Number / <br /> Owner's Address co 05 ' (A) 'e 4 _ Owner Phone Number <br /> Fee Simple Titleholder Name `. , /� 4 • er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN pi ri DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK [ ] FRAME I I STEEL I-1 I I <br /> - L li -,,,, .-t_....t....L.."--,--A..------ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ OOTAGE HEIGHT <br /> F-1BUILDING _3 C zo ^VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ ( AMP SERVICE T] PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 IPLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 IGAS r ROOFING I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREI I Y/ N I <br /> Address License # 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I )1 / N I <br /> Address 1 License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURREN I Y/ N 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE R.- ERED I Y/ N 1 FEE CURREN I Y/ N I <br /> /� <br /> Address <br /> I <br /> 416 ; ' • r License # <br /> OTHER / , er y •, .ANY — � ' r <br /> SIGNATURE , , r REGISTERED Y N FEE CURREt MEM , - <br /> or <br /> Address j IP r LL 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 />