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s�aaao-oozo ' City of Zephyrhills Permit Application Fax-813-780-0021 ' <br /> . ' Building Department <br /> � , . <br /> Date Re.ceived � Phone Contact for Permitting — � � <br /> Owner's Name �l I.UC.i �� K� �e�Q` Owner Phone Number� �3 `0 ' .�)<� <br /> Owner's Address � � Owner Phone Number <br /> Fee Simple T(tleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address - <br /> JOB ADDRESS . � 1� � . �S LOT# �� <br /> SUBDIVISION 1� PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT [� SIGN Q MOVE Q DEMOLISH <br /> e INSTALL e REPAIR , 4 <br /> FROPOSED USE Q SFR Q COMM. Q OTHER ' ' <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER <br /> r,_ _ . <br /> DESCRIFTION OF WORK. ��^�j � O p' �� C — <br /> BUILDING SIZE SQ FOOTAGE HEIGHT !�'i_ f�2�H <br /> . , <br /> BUILDING $�� ' � VALUATION OF TOTAL CONSTRUGTION <br /> c <br /> Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ <br /> Q MECHANICAL $ , VALUATION OF MECHANICAL INSTALLATION <br /> � GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> BUILDER ' COMPANY l I�l�C.'t'P�lC�. <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address _ .`� (J License# <br /> ELECTRICIAN COMPANY <br /> -SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER ' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address: License# <br /> MECHANICAL � COMPANY <br /> SI.GNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address Ucense# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address Lfcense# ' <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(1)set of Energy Forms;R=0-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 Permlt for subdivislons/large projects <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W Permit for new constniction: <br /> Mlnimum ten(10)working tlays after submittal date. Requlred onsite,Construction Plaris,Stormwater Plans w/Silt Fence installed, <br /> • Sanitary Faclllties&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 bf appifcatfon,notarized <br /> If over$2500,.a Notice of Commencement is requlred. (A/C upgrades over$5000) � <br /> *" Agent(for the contractor)or Povirer 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 Sewers Service Upgrades A!C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />