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a�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Parmittin _ <br /> Owne�'s Name �` G ��� i�f' Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name Ownar Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � S lr( 1 �.S � LOT # � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK F9 14G C ,� L1�1 S-}- /O/J �� <br /> . <br /> BUILDING SIZE �--� � FOOTAGE �_� HEIGHT � <br /> Q BUILDING $ J'� ??. � VALUATION OF TOTAL CONSTRUCTION <br /> /�1J <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION '� J/ �O � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �I � ���1 � '� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address .� L/i/ License # <br /> ELECTRICIAN COMPANY <br /> 51GNATURE 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 REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # �— <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 wnstruction,. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Silt Fence Instalted, <br /> Sanitary Facilitles 8 1 dumpster; Site Wor1c Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Llfe 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, ConsUuction Plans, Stormwater Plans w/ Siit Fence installed, <br /> Sanitary Facilitles & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Englneered Plans. <br /> "'*PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Confractor sign back of applicatlon, notarized <br /> If over s2500, a Notice of Commencement is required. (AIC upgradas over;7500) <br /> *" Agent (for the contractor) br Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERM�TTING (Front of AppUcation Onty) <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 />