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. e�s-�eaoozo City of Zephyrhills Permit Application Fax-813-780-OD21 <br /> t� <br /> Building Department <br /> Date Received Phone ConWct for Pertnittin �W L.��� —��1� <br /> Owners Name � I Owner Phone Number <br /> Owners Address � Owner Phone Number <br /> Fee Slmple Tideholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS C�IIJ�� 1 ` LOT# � <br /> SUBDIVISION ll� PARCEL IDt� <br /> WORK PROPOSED e NEW coNST� ADD/ALT � SIGN NED FR�OM PROPERTY T�TicE)DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OP CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �l�l � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �LUMBING $ /`�� ` ��� <br /> �� �lo <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER J ' / Q�(` �j � <br /> U7 ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��� � J <br /> — i i i i f � i i i S 0 C 0 i 0 7 i i 7 1 7 3 7 i C 9..0 I..i I..i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N i <br /> � <br /> Address /�.� License# <br /> PLUMBER / _-- - - COMPANY �U�GQ ��G �LC�W\ <br /> SIGNATURE � _,,...�—^'"�� � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address } �� � License# l�� l <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consUuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 Forms.R-O-W Permit for new construction. <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 Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out applicaGon completely <br /> Owner&ConVactor sign back of apptication,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <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 conVact required) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />