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�-: <br /> a��-�so-oozo City-�f Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � <br /> � Date Received � \� <br /> �= � � <br /> Phone Contact for Permitting <br /> 1 1 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 ,\ � <br /> LOT# <br /> SUBDIVISION PARCEL IDp . . e \ �!-, <br /> • (OBTAINE FROM PROPERTY TAX NOTICE) �� <br /> WORK PROPOSED I�I tvEW COnl57R e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> �� INSTALL REPAIR <br /> y <br />, PROPOSED USE Q SFR Q COMM 0 OTHER <br />� TYPE OF CONSTRUCTION � BLOCK Q FR.4ME � STEEL 0 <br /> DESCRIPTION OF WORK I�' �G� <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> ' - -� - -= --- - - __._..._�r__._ ..._..�a _._�.�,.__,_�_...__...:-- --..�_�..a...` .,—- -- :_....�.....-r. .� ._ <br /> �BUILDING�Y� y$ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �� <br /> �PLUMBING $ r ` �!_ ' <br /> i�I� L��� � � <br /> �MECHANICAL VALUATION OF MECHANICAL INSTALLATION � � ' <br /> �� ac�o� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER 1 <br />' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �1�_���/ <br /> BUILDER ��„ COMPANY I' <br /> SIGNATURE REGISTERED Y/ N F�cuaaen Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuw�en Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREf� Y I N <br /> Address L�e# <br /> MECHANICAL /` COMPANY � <br /> SIGNATURE h/L REGISTERED Y/ FEE CU EA Y 1 N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuw�r. Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111 <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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence insfalled, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projecls <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum len(10)working days after submirial date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Altach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> Dvections:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over SZ500,a Notice of Cammencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh notarized lelter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (copy of contract required) i <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Noi over Counter if on public roadways..needs ROW <br />