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s�saso-oo2o City of Zephyrhills Permit Application � - F�e�a-7so-oo2� <br /> Building Departrnent - <br /> Date�Recelv�d �Phone�Contact for Permitting 1 � — 7 � <br /> Owner's Name � � � � L Owner Phone Number � � �� <br /> Owner's Address dd / � � �1/� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS ��d � /�'/ I 4 LOT# � <br /> SUBDIVISION � PARCEL ID# �� "a� 'p'l �C�� — ' � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> � INSTALL e, REPAIR <br /> PROPOSED=USE ., Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION . � BLOCK , Q FRAME Q � STEEL Q <br /> � <br /> DESCRIPTION OF WORK V � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ rtf`��r~�'� .'y� <br /> VALUATION O�F TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q �W.R:E.C. <br /> OPLUMBING $ - ��A � <br /> f U <br /> OMECHANICAC $ VALUATION OF MECHANICAL INSTALLATION �i � <br /> l � <br /> QGAS Q ROOFING. Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> Bi�ILDER COMPANY <br /> SIGNATURE REGISTERED , Y/ N FEE CURRE� Y/N <br /> Addres� License# . <br /> , �. <br /> ELECTRICIAN -k COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ' <br /> MECHA�IICAL COMP.ANY � ^ZV.�G�� �� '� � <br /> SIGNATURE REGIS7ERED Y/ N , FEE CURREP Y/�N- ' <br /> Address� �d• gDX ( G LLS �� .. cYJ� License# ��� �� �� �� <br /> OTHER � COMPANY '� <br /> SIGNATURE REGISTERED Y/ N , FEE CURRE� Y/N• <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets.of:Buildi'ng�Plans;(1)sef of Energy�Fortns;.R-O-W Permit for new construction,, <br /> Minimum;ten(10)working=days,after,submitfal date. Required onsite,Construction Plans,Stormwater`Plans w/Silt Fence installed, <br /> � Sanifary Facilities:&.1:dumpster Site Work:Pertnit for subdivisionsAarge projects � <br /> CORAMERCIAL 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 submithal date: Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Slfe Work Permit for all new projects.All commercial requirements must meet compliance • - <br /> SIGN PERMIT Attach(2)sets of Engineered"Flans::.. <br /> ""PROPERTY SURVEY required for all NEW�onstruction. <br /> Directlons: <br /> FIII out application completely. <br /> Owner&Contractor sign back of applicaUon,notarized <br /> If over 52500,a Notice of Commencement Is required. (AIC upgrades over 57500) <br /> " Agent(for the conVactor)or Povuer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUPITER 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 roadways..needs ROW <br />