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<br />613-760-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-613-760-0021 <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br /> <br />:c (Uc. <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Address <br /> <br /> <br />F~I'v~ s;r; <br /> <br />JOB ADDRESS <br /> <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />AD DIAL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />D <br />D <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />4/VcL <br /> <br />BUILDING SIZE <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ ~DD. --- I AMP SERVICE 0 PROGRESS ENERGY 0 WRE.C. <br />0 PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />l......Y.L!:!.. <br /> <br />Address [2 <br />ELECTRICIAN -~... ,-y~1 COMPANY <br />SIGNATURE __ ~t . REGISTERED <br />Address 137t1".:> S- l>4~5c I&.,../(</.?/? , <br /> <br />:~N~T~~E I I <br /> <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />I~FE~/l......Y.L!:!.. <br /> <br />License # I ~L t:>~/ ~2-l( l( <br /> <br />COMPANY <br />REGISTERED l.Y..L1U FEE CURRENT l......Y.L!:!.. <br /> License # <br />COMPANY <br />REGISTERED l.Y..L1U FEE CURRENT l......Y.L!:!.. <br /> License # <br />COMPANY <br />REGISTERED l.Y..L1U FEE CURRENT l......Y.L!:!.. <br /> License # <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />AU commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />