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a�Taso-oo2o City of Zephyrhills Permit Application Fax-813-780-002� <br /> Building Department <br /> Date Received <br /> Phone Contact for Permlttin _ <br /> Owner's Name (� � ( �h� Ownar Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Numbar � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Z6 G�.J �Z LOT #�� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �] OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK (7 (GG /1�� L(�l ` v.� Z <br /> . <br /> BUILDING SIZE .�Q�FOOTAGE «� HEIGHT 6 � <br /> QBUILDING $ p/ O �� VALUATION OF TOTAL CONSTRUCTION <br /> Q t7 <br /> QELECTRICAL $ AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION II ��� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY �/'LC G� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ��� �,s C �,/� Llcense # -� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE __ Re�is�Reo Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <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, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) 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, ConstrucGon Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster. Site Work Permit for all new projects. All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'"PROPERTY SURVEY requlred for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Confractor sign back of applicatlon, notarized <br /> If over;2500, a Notice of Commencement is required. (A/C upgrades over;7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppiicaUon Only) <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 />