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� s�saso-oozo City of Zephyrhills Permit Application Fax 813-780-0021 <br /> � Building Department <br /> `� - <br /> Date Received' � � � Phone Contact for Permitting I - � ' <br /> Own�r's Name Ouvner Phone Number - ' <br /> � <br /> Owrner's�Address Owner Phone Mumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I I . <br /> Fee Simple Titleholder Address <br /> i <br />, JOB ADDRESS � � � • LOT# � <br /> SUBDII/ISIONi II L PARCELID# �' �+ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK,PROP I SED . IVEw COiUSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> �INSTALL e REPAIR <br /> PROP.OSED�SE Q SFR Q COMM 0 OTHER <br /> TYPE�.OF CONSTRUCTION Q BLOCK - Q. FRAME 0 $TEEL _Q <br /> DESCRIPTIO I OF WORK ` I � � 1� 1 <br /> BUILDIPIG'SI I E SQ FOOTAGE� HEIGHT lJ�'� � CV t'�J <br /> I - <br /> d <br /> UI�DING $ (,� VALUATIOfV=OF"TOTAL CONS7'RUCTION <br /> r ' <br /> QELECTRICAL $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLUMBING $ ' <br /> QME�HANICAL $ VALUATION OF MECHANICAL.INSTALLATION l�f �� <br /> . jp-�' ' / ! � <br /> CIN <br /> QG� Q ROOFING Q SPECIALTY � OTHER ��� <br /> FINISHED,FLI OR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER I r1c�� I COWIPAfVY � <br /> SIGNATUR � (�� �� �� REGISTERED Y/ N FEE CURREt� /N <br /> Addres I � IS License'# <br /> I <br /> ECECTRICIAId CORA PANY <br /> � SIGidATURE� '� REGISTERED Y/ N FEE CURRE� Y/N <br />, Address Cicense# <br /> PLUMBER.:. COMPANY' � <br />� SIGNATURE ' , ' �REGISTERED Y�/ N. . �FEE CURREn Y/N <br /> Address License•#° - <br /> .f„MECHANIC I COMPANY . <br /> SIGPIATUREi REGISTERED Y/ N F.EE CURRE� Y/N <br />' Address � • � � License# <br /> ,s;'sr, .. . <br /> _ on�ER�� � �� � co�nPaNv " , <br /> , `SIGNATURE:. � � REGISTERED Y/.N FEE CURRE� Y/N <br /> , ��: . • - <br /> Address.•._, _ - � � - � L'icense# <br /> T <br /> �`�'RESIDENTI/�L`�:- 'i4ttacii`:(2);PlofPlans;!.(2):sets�of Building�Plans;�(1�)set'of Energy,Forms;R-.O-W Pemiit,for new.wnstruction, . . <br /> �;� �.;�.,.,,�,.j,--�Minimum;ten�,(AO)working'days afte�.submittal-date. Required onsite;Constniction Plans,Stormwater Plans wl�Sllt Fence installed, <br /> � � � �Sanita[y;�Facilities.&;:1�fdumpster;Sife;Work�Pe�mitfor.subdivlsions/large�projects ' � ' � <br /> :.,COMMERCI�4L. Attach�(2)�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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence:installed, <br /> Santtary Facilitles 8�1 dumpster.Site Work Permit fo�•all new projects.All commercial requirements must meet compliance <br />' ::..:SI,GN'PERMiT �Atfach+(2)�sets of.Engineer�d Plans:;'� �; . <br /> '•"*PROPERTI'SURVEY required for aII..NEW construction. <br /> `:�Directions: � ,z-=,�:•.�,. . . ;�, , .. <br /> FilGout application completely. <br /> Ou'vner&Gontractor sign back of application,notarized <br /> - If over a2500,a Motice of Commencement is required. (A/C upgrades over$7500) <br /> ' .� l,. ..::,.;�r;i. <br /> Agent(fo"r the contractor)or Power�of Attomey(for ttie owner)would be someone with notarized letter ftom owner authorizing same <br /> �._OVER 7HE COUNTER.PERMIITING.._ �(copy,of contract-required) ' " <br /> =Reroofs if sh�ngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlvew i ys-Not over Counter if on public road`ways..needs ROW <br /> � <br /> � � <br />