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i a�a-�ao-oozo City of Zephyrhills Permit Application Fax�13-780-0021 <br /> ' , Building Department <br /> Date Received � \• 1� Phone Contact for Permitting � - <br /> 1 1 I 1 1 1 1 1 1 1 1 1 1 1 <br /> Owner's Name � Owner Phone Number <br /> Owner's Address �\ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS \ LOT q � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED e NEW coNSTR 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 0 STEEL Q <br /> DESCRIPTION OF WORK '� � I II ( , . � 1���./ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> .�-.,..� .__._.�..._,- _ __. ,m._.._..�_____,w._..=_____,.�- - - - -- _., - -- - - - - - <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL VALUATION OF MECHANICAL INSTALLATION //-/ �/ � <br /> � c�� <br /> OGAS 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER •COMPANY• <br /> SIGNATURE REGISTERED Y/ N F�cuaaFn Y/N <br /> Address License# <br />� ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECUR EA Y!N <br /> Address �l License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuaaen Y/N <br /> Address License# <br /> MECHANICAL � COMPANY � <br /> SIGNATURE 7 REGISTERED Y/ N F�cuw�n Y <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�curutEn Y!N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Plans;(t)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 /> Sanitary Facilities&1 dumpster;Site Work Pertnil 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,Construclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requiremenls must meet compliance <br /> SIGN PERMIT Allach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> FiII out application completely. <br /> Owner&Conlractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh 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 /> � <br />