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�ozo City of Zephyrhills Permit Application Fax-613-780-OOZ1 <br /> . Building Department � �' ��� <br /> Date Received <br /> Phone Contact for Parmlttin _ <br /> �.-- <br /> Owne�'s Name �,f 3 <br /> Owner Phone Number <br /> Owner's Address � "� ,S Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee Simple Tltleholder Address <br /> JOBADDRESS � � . ,�,�� 'j�" LOT# � <br /> SUBDIVISION . PARCEL ID# ��' j f ,� �O ., � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON57R 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION BLOCK � FRAME �� STEEL <br /> DESCRIPTION OF WORK S'�G <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE �/� PROGRESS ENERGY t- <br /> O � _�–. ICO WR.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY <br /> � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y FEE CURRE� Y/ N <br /> Address License # � � �d� °� �j ��p <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> lJcense # <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Pla�s; (1) set of Energy Forms; R-O-W Permit fo� new construction,, <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans wl Sflt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisionsllarge 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) woricing days after submittal date. Required onsite, Constructlon Plans, Stonnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 1 dumpster. Site Work Permit for all new proJects. All commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construcdon. <br /> Directtons: <br /> Fill out application completely. <br /> Owner & Confractor sign back of applicaUon, notarized <br /> If over s2500, a Notice of Commencement is required. (A/C upgrades over;7500) <br /> "' Agent (for the contractorror Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front af Appiiption Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />