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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received � - /U Phone Contact for Permittin. - <br /> Owner's Name r „ Ald Owner Phone Number <br /> Owner's Address , -3 S' 3 / / 4 ,.� nunf /o�. - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 336- C " p-% LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT MN SIGN n n DEMOLISH <br /> INSTALL f I REPAIR <br /> PROPOSED USE r1 SFR rl COMM ( I OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK r7 FRAME I I STEEL r] 1 <br /> DESCRIPTION OF WORK Gc� � ,� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I <br /> 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE r] PROGRESS ENERGY r W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1GAS I 1 ROOFING ri SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 11YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI. I Y/ N I <br /> Address ( License # <br /> ELECTRICIAN 1.i� �---� COMPANY �4 <br /> SIGNATURE ` REGISTERED ( Y / N ` FEE CURREP 1 Y / N <br /> Address /T p r fir: License # 1 &T /3 4) <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREP I Y/ N I <br /> Address 1 License # I 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREP I Y/ N I <br /> Address I 1 License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N 1 <br /> Address 1 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />