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a�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting Dw IpD �.!l <br /> � , Owner's Name Owner Phone Number ��� `�1 <br /> Owner's Address� O \ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O� R \ ,hOT# � <br /> SUBDIVISION C ,Z PARCELID# ����O1 � O, O' � �� <br /> (OBTAINED FROM PROPERTY TAX NOTIGE) <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 � STEEL Q <br /> DESCRIPTION OF WORK �� �/�� S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $� �O VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE �1X PROGRESS ENERGY Q W.R.E.C. <br /> �yG � <br /> �PLUMBING $ �_ CQ�.ir1�� <br /> ��� \ . �-�� � ol�� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `� .I ��� � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � �A�, w �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � �v �a`� - v <br /> {' <br /> c a <br /> BUILDER /�,„ ��COMPANY V►4C V�� � C• <br /> SIGNATURE ����lL REGISTERED Y/ N FEE CURRE� Y/N <br /> Address . �l\V� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllltllllltlltllltllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 8 1 dumpster;Site Work Permit 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 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 conVactor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVac[required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoVSurveylFootage) <br /> Driveways-Not over Counter if on puhiic roadways..needs ROW <br />