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City of Zephyrhills Permit Application Fax-aia-7b,. <br /> Building Department »� <br /> Date Received <br /> Phone Contact,for Permitting Sbe44�M� ` <br /> Owner`s Name ' <br /> Owner Phone Number _ cif <br /> Owner's Address <br /> 3�Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> 33S4o LO z <br /> SUBDIVISION ARCELID#I. <br /> D# .�S z$-Z/.Q/(o(J •()U ADO.03ZQ <br /> WORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR ADD/ALT ❑ SIGN <br /> INSTALL ❑ REPAIR 0 ❑ DEMOLISH <br /> PROPOSED USE ❑ SFR ❑TYPE OF CONSTRUCTION COMM 0� BLOCK 0 OTHER <br /> ❑ FRAME ❑ STEEL ❑ <br /> DESCI IPTION OF WORK 1 - <br /> U�► <br /> • j5 -S <br /> BUILDING SIZE SQ FOOTAGE ¢D� <br /> HEIGHT <br /> ❑BUILDING <br /> $fQ � VALUATION OF TOTAL CONSTRUCTION <br /> ❑ELECTRICAL $ / AMP SERVICE <br /> ❑ PROGRESS ENERGY <br /> ❑PLUMBING W•R.E.C. <br /> ❑MECHANICAL $ G �� <br /> i <br /> 4 VALUATION OF MECHANICAL INSTALLATION <br /> ❑GAS ROOFING [❑ SPECIALTY ❑ OTHER <br /> FINISHED FLOOR ELEVATIONS <br /> FLOOD ZONE AREA ❑YES NO <br /> BUILDER <br /> SIGNATURE COMPANY C <br /> REGISTERED Y/ INFEE CURREt\ Y/N <br /> Address •�..• <br /> License# <br /> ELECTRICIAN <br /> SIGNATURE v COMPANY--------- 4 �CURREN <br /> REGISTERED 4� FEE <br /> Address 06 3 <br /> License# C <br /> PLUMBER <br /> SIGNATURE ����� COMPANY 5 <br /> REGISTERED' /A <br /> Y/ N FEE URREt\ /N <br /> Address L 3�a b C s{ e16M Nub a <br /> MECHANICAL <br /> License# <br /> . <br /> SIGNATURE COMPANY [K-- <br /> _r <br /> REGISTERED /•N FEE CURREN Y/N <br /> Address <br /> License# CCU 33 <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED <br /> i Y/ N FEE CURREN Y/N <br /> Address T �Iil <br /> G <br /> I l l l l l l I I I I if K I I I 1 1. 1 1 I I I I 1 1 1 1 1 I I 1 I 1 1 1 1 1 icons # CC 1 Z-� <br /> RESIDENTIAL Attach(2)Plot Plans;*(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> t111t1 <br /> Minimum ten 00)working days after submittal date. Required onsite,Construction Plans, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for,subdivisions/large projects Stormwater Plans w/Silt Fence Installed, <br /> COMMERCIAL-. Attach(2)'cornplete sets of Building Plans plus a Life Safety Page;(1)set of Energy For s:R-O-W Permit for new construction. <br /> Minimum ten 00)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 PER 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 <br /> OVER THE COUNTER PERMITTING m owner authorizing same <br /> Reroofs if shingles Sewers (copy of contract required) <br /> Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.-needs ROW <br />