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:s,;J-isu-uuzu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> # a. NVINNEWN Phone Contact for Pei' € €( ) <br /> Owner's Name '"• U° �tJ7� Owner Phone Numberi3" <br /> : F.Owner's Address 1 f % L Owner Phone.Number <br /> Fee Simple Titleholder Name Owner Phone Number- <br /> Fee.Simple Titleholder Address <br /> JOB ADDRESS . . S [ _ /!1 � / L �J LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q DEMOLISH <br /> INSTALL. REPAIR <br /> PROPOSED USE:. Q :. SFR 0 COMM — :.OTHER Lkl;rj <br /> TYPE OF CONSTRUCTION... . ::.BLOCK 0 FRAME 0 STEEL Q .: <br /> DESCRIPTION OF WORKS <br /> BUILDING SIZE C�"( I SQ FOOTAGE HEIGHT <br /> =BUILDING q $ VALUATION OF TOTAL CONSTRUCTION: <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY _Q W.R.E.C. <br /> 0 <br /> PLUMBING $ . <br /> MECHANICAL - VALUATION OF:MECHANICAL INSTALLATION <br /> : =GAS.- 0 ROOFING Q SPECIALTY 0 OTHER " <br /> FINISHED FLOOR ELEVATIONS 0 aO FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY. 4 <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 I FEE CURREN Y/N. . <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY �.G�G/ <br /> SIGNATURE REGISTERED Y/N- FEE'CURREN Y/N <br /> Address T/�df License# <br /> # #.#.#.# # ## #.# # ## # #a #a## .# # #### # ## # # ##.## IE# ## # # ##I[##.# # ###.##.#11 ## ##:# # #I. :. <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 rsubmittal date.'Requ!red 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 /> E�4 <br /> Agent(for the Contractor)orPower 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 />