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e�s-�saoozo City of Zephyrhills Permit Application Fax-873-780.0021 <br /> � ; Building Department <br /> �� ' ' <br /> Date Recelved phone ConWctfor Pertnittin <br /> Owners Name Owner Phone Number — ��3 <br /> Owners Address Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �I <br /> , \,� JOB ADDRESS \ ' 1 LOT# [� I <br /> �� ,, n y 3_ _ - - �OQ �' <br /> V ` SUBDIVISION PARCEL IQ# ' <br /> � \ �� WORK PROPOSED NEW CONSTR �ADD/ALT � SIGN NED FR�OM PROPERTY T�nce)DEMOLISH <br /> \ 11 �J INSTALL e REPAIR <br /> �V <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 1 i `� L <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ I VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��!/ ' <br /> . � • � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �_„��r <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ' ��� <br /> BUILDER �1� COMPANY <br /> SIGNATURE � �`�� REGISTERED Y/ FEE C REN Y/N <br /> Address ���p73 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PIUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new cansWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Startnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsflarge projects <br />� COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1}set of Energy Fortns.R-O-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 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(or all NEW construction. <br /> ...�T:–F� '��:�� <br /> DirecNons:' <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> " Ii over SZ500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> •' Agent(for the contractor)or Power of Attomey(for the owner)would be someane 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />