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s�s-7ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permlttln _ <br /> Owner's Name � r /� � f Owner Phone Number <br /> Owner's Address � . Owner Phone Number �— <br /> Fee Simpie Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� �( I/ S� .�, LOT # C� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED F�RO�M pROPERTY T ncE) DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK �I�tC t/� �� CL � s��-�O� � (f <br /> BUILDING SIZE � � OOTAGE �/.� � HEIGHT �j <br /> QBUILDING $ <br /> ! �� � , !�D VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� I' *"' � <br /> , <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �M L �'!�/CC <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � L.J� 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 REG�STERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # �— —� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permlt for new construcdon,. <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 Wor1c Permlt for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Buiiding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new consUuction. <br /> Minimum ten (10) yrorlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 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 required for all NEW consUuctlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner & ConUactor sign back of applicatlon, notarized <br /> If over:2500, a Notice of Commencement is required. (A/C upgrades over s7500) <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 PERM1171NG FFront of ApplicaUon Only) <br /> Reroofs if shingles Sewers Serviqe Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />