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d1;5_16U-UULU City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received' Phone Contact for Permittingata'aaaal ( ,, � ) — <br /> � a FEE ; <br /> Owner's Name <br /> � . Owner Phone Number <br /> Owner's Address /�%i:1 % Owner Phone Number <br /> �7 <br /> Fee Simple Titleholder Name Owner Phone.Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS <br /> LOT# � <br /> SUBDIVISION n PARCEL ID# <br /> r <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN DEMOLISH <br /> R INSTALL B REPAIR <br /> PROPOSED USE SFR = COMM �� OTHER <br /> TYPE OF CONSTRUCTION = BLOCCjK� Q���^ )FRAME �}� STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE v(� I SQ FOOTAGE[�—f9 HEIGHT A? <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION. <br /> =ELECTRICAL $ AMP SERVICE PROGRESS.ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> .=GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 71 I�C) FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE' REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address F License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address ALicense# <br /> �)/�r1 P <br /> OTHER COMPANY V'/v�� I� <br /> SIGNATURE. REGISTERED Y/N FEE CURREN Y)/N <br /> Address License# ��C/J <br /> 1& lIIII.IIIEII III <br /> II.IEIF � rffIl allIFIIIE €� iIIiIII< i [ IIHfIIi. Ii ! [II � IIlaIl ��ii � Il �a� i IIHIa< Iliiid <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&1 dumpster;Site Work Permit for subdivisions/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 onsite,Construction Plans,Stormwater 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application, notarized <br /> If over$2500,a Notice of Commencement is required.(A/C 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 roadways..needs ROW <br />