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813- 780 -0020 City of Zephyrhills Permit Application f ( 3 ( 7 Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin e <br /> Owner's Name uG(t_5 s-ed,-. 4L4, t (P 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 (ez (( gezy &LXJ . <br /> rr LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT , -- -- 1 ,...---' <br /> -- [ ' SIGN ] ni DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE I I SFR n COMM I OTHER I <br /> TYPE OF CONSTRUCTION 1 I BLOCK I] FRAME I 1 STEEL I 1 <br /> DESCRIPTION OF WORK f--1- due '2 ) /C 7(14 Ck_ c $C i/ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 'BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 'ELECTRICAL $ . ;�� _` AMP SERVICE (CO 1 PROGRESS ENERGY n W.R.E.C. <br /> 'PLUMBING $ `� <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 'GAS n ROOFING I1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZQNE AREA I 'YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # I <br /> ELECTRICIAN ( ,/ ( l COMPANY v'- C(4ss �(= 'rCc,�,c L <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address (C( �l / C 1 License # 1.-- -c9 < I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . 1 FEE CURREN I Y/ N 1 <br /> Address I 1 License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <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 />