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a,s-resu-uuzU City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> A <br /> Date'Recelved Phone Contact for Permitting <br /> Owner's Name .- Owner Phone Number <br /> Owner's Address _ 1 j Owner Phone Number F � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C� � '" LOT#. � <br /> • I, <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH ' <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q `' <br /> DESCRIPTION OF WORK <br /> �--� , <br /> • -BUILDINGSIZE � SQ FOOTAGE HEIGHT" <br /> B.UILDlNG VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.GGi,off" <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> �. <br /> BUILDER: COMPANY ' <br /> SIGNATURE REGISTERED Y/'N FEE CURREN Y/N <br /> r <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE / REGISTERED YJA FEE CURREN- LILIN <br /> Address <br /> License# �� I <br /> I <br /> PLUMBER: COMPANY <br /> SIGNATURE REGISTERED' Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE -REGISTERED Y./ N FEE CURREN Y/N - <br /> Address'. License# F � <br /> OTHER, °: COMPANY <br /> . SIGNATURE REGISTERED Y/ N FEE CURREN. YN <br /> .Add .ress License# <br /> r: ,. <br /> -1 Hiffi-i! <br /> `RESIDENTIAL Attach-,(2)Plot Pions;,(2)sefs of Building Plans;,(1)set of Energy Forms;R-O=W.Permit for new.construction, <br /> Minimum ten'(10f working'days aftersubmittal`date. Required;onsite,Construction Plans,Stormwat&'Plans:w%Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/targe 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 4en-(10)working days after submittal date. ;Required onsite,Construction Plans,$tormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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 construction. <br /> Dire�tioris: ' <br /> Fill out application completely. <br /> Owner&'Contractor-.sign..back of application,notarized <br /> If-over$2500,a Notice of Commencement is required. (AIC upgrades 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 /> OVEItTHE.COUNTER PERMITTING (copy of contract.required) <br /> 'Rerdi fs:if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />