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s�a-�saoozo City of Zephyrhills Permit Application F�-s��-�saoo2� <br /> Building Department <br /> Date Received phone Contactfor Pertnitting �l� o�V� - / lfJ � <br /> 1 1 1 1 1 1 1 � 1 1 1 1 1 <br /> ! <br /> Owner's Name Owner Phane Number <br /> Owner's Address � ' � t <br /> � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS / / �� t LOT# � <br /> SUBDIVISION � PARCEL IQ# Q ' Q'� � <br />, (OBTAINED FROM PROPERTY TAX NOTICE) <br />' WORK PROPOSED e NEW CON57R e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK - /✓ � ('J <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �� � '�� <br /> U�, <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � ^�/;� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � r/ 'T <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuRREn Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE rtEcis�a�o Y/ N FEE CURRE� Y/N <br /> Add ress License# <br /> PLUMBER COMPANY <br /> SIGNATURE a�cis�aeo Y/ N F�curu�En Y/N <br /> Add ress License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> OTHER C� �S�C,�'�G' CO L'�S COMPANY v <br /> SIGNATURE REGISTERED / FEE CURRE� Y/N <br /> Address � License# d ,3 Z. � <br /> I I I 1 1 1 1 1 1 I 1 I I 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 I 1 1 1 1 1 I 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W PeRnit for new construdion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans wl Silt Fence installed, <br /> Sanitary FaciliGes&1 dumpster.Site Work Pertnit 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 applica6on completely. <br /> Owner&Contractor sign back of applira6an,notarized <br /> If over Ez500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorrzing same <br /> OVER THE COUNTER PERMI7l1NG (copy of conVact required) <br /> Reroofs'rfshingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br />� <br />