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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 — <br /> Owner's Name � Q Q SO Owner Phone Number - � �� <br /> Owner's Address '�} . ��+h 1.�� V , i� �S ! , Owner Phone Number <br /> 33�13 <br /> Fee Simple Titleholder fdame Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ! �.� ��I��1� I [�I � LOT# � <br /> SUBDIVISION c� �( c� PARCEL ID# b0� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRIJCTION Q BLOCK • Q FRAME 0 STEEL Q <br /> i. � . <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ � VALUATION'OF TOTAL CONSTRUCTION <br /> 1 <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS � ROOFING Q SPECIAL.TY 0 OTHER ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � . COMPANY ,� <br /> SIGN14TURE - REGISTERED Y N �FEE CURRE� Y/N <br /> Address y� �. 1 License# C :3aS� `� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address Cicense# - + <br /> PLUAABER COMPANY <br /> SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N <br /> Address License#' <br /> IVIECHANICAL � , COMPANY <br /> SIGNATURE' ` Re�ISTeReo Y/ N FEE CURRE� Y/N <br /> Add�ess � _ -License.#� <br /> O'THER=• "- COMPANY ' <br /> SIGNATURE=- ;'• - ` REGISTERED Y/.N.. FEE CURRE�' , Y/N <br /> Address - � License# <br /> .RESIDENTI.AL ., Attacli•(2).Plot Flans'(2);setsof Building•Plans;'(1)'set of�Energy Forms;R-0-W Permit.for.new construction, <br /> , • , Minimum,ten;(,10)working;days after.subrriittal dafe. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanita.ry,Facilities.&°1•dumpster Site.Work Permit for subd'ivlsions/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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance � � <br /> �'-SIGN PERMIT ;4ttacFi(2)sets of;Engineered Plans. <br /> � "*"PROPERTY SURVEX required for.aILNEW construction. <br /> '�`Directions: � -. � <br /> - Fill out application completely. <br /> Oinrner&Contractor sign.back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> " Agent(for the�contractor)'or Powerof Attomey(for ttie 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(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW. <br />