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• _� a�saeo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received phone Contact for Permltfing �21 O lUZ -1�2. <br /> Owner's Name r �'1 'r Owner Phone Number � ' l�1� ,7 <br /> Owner's Address 1'�. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS � LOT# � <br /> SUBDIVISION PARCEL ID# ` [, � � <br /> (OBTAINED FROM PROPERTY TAX NOT1G� <br /> � WORK PROPOSED e NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br />' QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br />' �PLUMBING $ � � R / � I <br /> ��1 l <br /> �MECHANICAL $ `�d VALUATION OF MECHANICAL INSTALLATION <br />' QGAS Q ROOFING Q SPECIALTY 0 OTHER �i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> � COMPANY M ��1�G.��1J �7 <br /> ATURE REGISTERED / N FEE CURRE� Y/N <br /> Address �p � r License# t,f't(,� <br /> ELECTRICIAN COMPANY <br />� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREf. Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> IGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY � <br /> SIGNATURE REG�STERED Y! N FEECURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIttlllllllllllllllltll <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large proJacts <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(or 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 construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicalion,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> •' Agent(for the contractor)or Power of Attorney(for the 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />