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eta Tao oozo City of Zephyrhills Permit Application Fax$13780.-W21 <br /> Building Department <br /> Date Received Phone Contact for Permitting— <br /> Owners Name Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS I I LOT# C.--� <br /> SUBDMSION PARCEL ID# <br /> (OBTAINED FROM PROPERTYTax NOTICE) <br /> WORK PROPOSED e NEW OoNSTR e ADDIALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME LJ 'STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [RTE"LECTRICAL $� AMP SERVICE = PROGRESS ENERGY �.RE.C. <br /> =PLUMBING $ 46w <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CLIRRFJ, I Y/N <br /> Address ^'� yy��((��,,//U�mnse/&��/� �Jy �/� <br /> ELECTRICIAN COMPANY , ) L k)Q�L�L i �C� Vic. <br /> . . <br /> SIGNATURE REGISTERED 1LY•! N FEE CURREN Y/N <br /> Add oC f L-..# -C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRtIS Y I N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address I Lkxme# <br /> OTHER COMPANY <br /> SIGNATURE REG19TI32ED Y!N FEE curREn Y/N <br /> Address License# <br /> Illllllllllllllllllllllllllll,IlllIIIIIIIIIIII111llllllll [ [tllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities$1 dumpster,Site Work Permit for subdivWfors/large 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 ten(10)working days after submittal date. Required onsfte,Construction Pieria,Slomwrater Plans w/SEt Fence installed. <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new project.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Diections_ <br /> Fill out application completely. <br /> Owner&Contractor sign back Of application,notarized <br /> K over$2500,a Notice of Commencement Is required. (A!C upgrades over SMO) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />