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81376Q0020 City of Zephyrhills Permit Application F�-ai�-�saooz� ' <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name �r� � Owner Phone Number <br /> Owners Address J � � . Owner Phone Number I <br /> Fee Simple TiUeholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS I . S LOT# � I, <br /> SUBDIVISION PARCELIDq I1� �L`�OOI O �'O�ODO'Oldb i <br /> I (06TAINED FROM PROPERiY TAX NOTICE) i <br />, WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH I <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br />' DESCRIPTION OF WORK ��S� �1�+� i��'��V F � / I <br /> BUILDING SI2E SQ FOOTAGE Q � HEIGHT � 1 I <br /> QBUILDING $ Za 6 VALUATION OF TOTAL CONSTRUCTION � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS �� ROOFING _ SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> - ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuRReN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE rtECIs7EReD Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL - COMPANY <br /> SIGNATURE REGISTERED Y/N �cu� Y/N <br /> Address License# <br /> OTHER COMPANY {'���"►��AS OF�� S` v,CE� <br /> SIGNATURE t�cis�t�o Y/ N �cur�N Y/N <br /> Address , . 5�'��VV ���r License# �� � Z �� Z � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt111111111111111111111111111Ii11111 � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)warking days after submittal date. Required onsite,ConsVuction Plans,StoRnwater Plans w/Sift Fence instatled, <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 Pertnit for new consWction. <br /> Minimum len(10)woricing days aHer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Pertnit for all new projects.AII commercial requirements must meet complfance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required forall NEW consWction. <br /> Directions:L <br /> Fill out application compietely. <br /> Owner&Contractor sign back of application,notarized <br /> If over�2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />