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� s��-�eo-oozo City of Zephyrhills Permit Application Fau-813-780-0021 <br /> ` Building�epartment <br /> Date Received S" � phone Contact for Permitting — <br /> Owner's Name Owner Phone Numher <br /> Owner's Address � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> 1 <br /> Fee Simple TlUeholder Address <br />�I JOB ADDRESS � LOT# � <br /> SUBDIVISION PARCEL ID# � " G,,� � � �� , <br /> (OBTAINED FROM PROPERTY TAX NOT1C� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � 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 /> � <br /> DESCRIPTION OF WORK •\ � � <br /> BUILDING SIZE OOTAGE HEIGHT <br /> �BUILDING �l VA ION OF TOTAL CONSTRUCTION <br /> v V <br /> QELECTRICAL AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ����� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ������S <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �`� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO /� ` <br /> � � v� <br /> BUILDER COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ^ <br /> �d�� C <br /> Address License# <br /> � � � . ��.6�� <br /> � ELECTRICIAN I r COMPANY S � �i�� <br /> � SIGNATURE REGISTERED N f5 cuwtEn Y/ <br /> Address License# E b <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuw�n Y/N <br /> � Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuwx�n Y/N <br /> Address License# <br /> OTHER COMPANY � � <br /> SIGNATURE REGISTERED / N URRE� Y/N <br /> Address p License# � � <br /> tllllllltl 11 Illltlllllltllllllllllllllllltlllltllllllllllllllllll <br /> RESIDENTIAI. Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 Fortns.R-O-W Pertnit for new consUuction. <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Direetions: <br /> Fill out application completely. <br /> Owner&ConVactor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A1C upgredes over E7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> � <br /> OVER THE COUNTER PERMITTiNG (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drlveways-Not over Counter if on puhlic roadways..needs ROW <br />