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a��-�aaoozo City of Zephyrhills Permit Application Fax-813-780-0021 ' <br /> ' ' Building Department <br /> Date Recelved Phone ConWct for Permitting �� — � <br /> Owner's Name � Owner Phone Number ` '"—\"'l�0" <br /> Owners Address Ct � \S v Owner Phone Number <br /> Fee Sfmpie Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS C��V � `. ' �' LOT# � <br /> SUBDIVISION PARCEL IDl� <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER , <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��-7 �� ^� � <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 /> QPLUMBING $ ,� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> I <br /> IBUILDER COMPANY ; <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N � <br /> i <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY � Q� �OS <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � � <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 L(cense# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllll I <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)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, � <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/larpe projects � <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a LiTe 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 for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW construction. <br /> Directlons:• <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 upgredes over$7500) <br />� " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contrect required) � <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) � <br /> DNveways-Not over Counter if on public roadways..needs ROW ! <br />