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a1�7eaoo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received /, Phone Contact for Permitting t-,Z-1 — Z Z <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owners Name f Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS "A lbhl ` �e�,,� LOT# <br /> SUBDIVISION 1 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK IT rAlt a on3'(L aG`w �bl. U►'l�ee ' <br /> czYt� Otv�+u �►n�t'� 5 t� <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT 1 1(]�-'1 <br /> DING $ �35t VALUATION OF TOTAL CONSTRUCTION 1 <br /> =ELECTRICAL $ J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION O�L <br /> =GAS 1121— ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS , FLOOD ZONE AREA =YES NO <br /> SBUILDER IGNATURE V� REGISTE COMPANY <br /> 0 �lRED 1 Y/N FEE CURREP Y/ <br /> Address � r �1. ' �f 7 r4 3 L License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURR0\ Y/N <br /> Address License# <br /> Itlllllllllllllllllllllllllllllllllllllltllllllllllllllllllllllllll <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsfiarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift 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 /> Directions: <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 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 madways..needs ROW <br />