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e��-�ao-oozo City of Zephyrhills Permit Application Fax 813-780-0021 <br /> � ' ' ° Building Department . <br /> Date Received . Phone�Contact for�Permlttln – <br /> Owner's Name Owner Phone Number <br /> /C <br /> Owner's Address 1 ��— Owner Phone Number <br /> Fee Slmple Tltlefiolder Name ° Owner Phone Number <br /> Fee Stmple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# " <br /> , . (OBTAINED F.ROM.PROPERTYTAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> -_�„ INSTALL 8' REPAIR � <br /> PROPOSED�.USE • Q SFR � COMM Q OTHER ' <br /> TYPE OF CONSTRUCTION • Q. BLOGK • Q FRAME ' STEEL Q <br /> DE3CRIPTION OF WORK � � _ • '�,{,/y( /\�_ C�(�� <br /> BUILDING SIZE `SQ�FOOTAGE � HEIGHT . <br /> OBUILDING $ VALUATION''OF`TOTAL CONS7RUCTION <br /> QELECTRICAL $ - AMP SERVICE 'Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ' <br /> OMECHANICAL $ VALOATION OF,MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> - a, , <br /> / <br /> BUILDER � � COMPi4NY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Cicense.# <br /> ELECTWCIAN- . COMPANY - <br /> SIGNATURE ' REGISTERED Y/ N FEE�CURRE�" �Y/N <br /> Add�es� , . Y ; License�# <br /> PLUMBER � COMP,.ANY �. • <br /> SIGNATURE' " , REGISTERED Y./..N,; F-;FEE CURRE� � �'. Y�/N.- <br /> Address License# . <br /> MECHANICAL` , f C.OMP .ANY � - <br /> SIGNATURE� ' REGI'STERED, Y./.N FeE CUFtREt�. Y./:N <br /> Addre�"s� � . . - n =- ' ' - License# . <br /> OTHER f' � - � ;COMPANY ` <br /> SIGNATURE - .. _ ` � � ^- ' �REGISTERED ' Y/ N . FeE cuwt�n Y%N <br /> �. ,, , , - - . <br /> Addre�s - _ - s�,: ' ' � License# � <br /> .,. ,�:;.,._ :. . <br /> RESIDENTIALr;_: :Attacfi'(2)sPlot�.P,lans;:(2)set's`:ofBuilding`Plan's;`'(1)'sef of Energy�Foims;;R-0=W Permit for new constructlon, <br /> - Minlmum,ten.(:1.0);working�days aiter.;submlHal`dafe.�:.Requlred onsite,-ConstiucBon�Plans;Stortnwater Plans�w/Silt Fence insfalled, <br /> ' �I �� �Sanitary FadltUes:&L;1,;du,mpster_Stte„WorktP„ermit for:su6divi5lons/large°_projects , ' - - <br /> COMMERCIAI. Attach.(3)�complete sets'of Building Plans�plus a Llfe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for neW consUucUon. <br /> Mtntmum ten(10)working days after submit�l date. Requlred onsite,ConstrucUon Plans,Stortnwater Plans w/Sllt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new.proJects.All commercial requiremenGs.must meet compllence " <br /> SIGN PERMIT Attach"(2)"sets of Englneered:,P-,laris.+ ... • .. , - <br /> "'•PROPERTY SURVEY reyutred for all NEW,gonstructlon.. <br /> Dlrectlons: . . • .. " - �� <br /> Fill out appllcatlon completely. <br /> Owner 8 Contractor sign back of applfcaUon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgrades over 57500) <br /> .. °�n-�n,'r:�! , _ <br /> Agent(for the�contracto�)or Power of Attomey'(fo�tFie owner)would be someone with notarized letter irom owner authorizfng same <br /> DVER THE COUNTER PERMITIING -- •(Front of-Application-Only)� • � <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW ' <br />