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a��-�ao-0o2o City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> : � <br /> Building Departrnent I <br /> Date Received <br /> Phone Contact for Permitting - <br /> TTTT G <br /> Owner's Name r✓J Owner Phone Number � ��� `��% <br /> Owner's Address � � (J , � ✓�✓/1/Q Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � LOT# � <br /> SUBDIVISION CJ V r �O PARCEL ID# � - � -Q � O <br /> (OBTAINED FROM PROPERTY TAX NOT1C� <br /> WORK PROPOSED � NEW CON57R e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPT70N OF WORK G!�/ ��I � I/ ' <br /> BUILDING SIZE SQ FOOTAGE �ZZ � HEIGHT �-6�=� <br /> UILDING $ O VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ ' AMP SERVICE Q PROC�RESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAI INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED ROOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE � aEGISrEaEo Y/ N F�cuaaEn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> . ../ <br /> OTHER COMPANY / <br /> SIGNATURE r�c�sTEr�o / �c Rr�n •Y/N <br /> Address � /C' � 3�.f/� License# � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIII 1111 tlllllllllllllltlllllllllllllllt <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 Pertnit for subdivisionsllarge 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 consWc6on. <br /> Minimum ten(10)vrorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> San'itary Facilities 8'I dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. � <br />' Dlreetlons:• I <br /> Fill out application campletely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with nofarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />` I <br />