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a�s-7so-oozo City of Zephyrhills i'ermit Applicatio � rax-tsis-i�su-uuzi <br /> Building Department ( �/n � �' <br /> �E' <br /> Date Received Phone Contact for Permittin — <br /> Owner's Name H �L /�G"" � Owner Phone Number <br /> Owner's Address '7�� -` C% v1. �" � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS �� LOT # � <br /> SUBDIVISION � .G c �' \ , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � � NEW CONSTR ADD/ALT 0 SIGN [� �] DEMOLISH <br /> � INSTALL � REPAIR <br /> PROPOSED USE �] SFR Q COMM [� OTHER -P i!l <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �/� / , X � I 7 �� � � <br /> BUILDING SIZE �—� SQ FOOTAGE �� HEIGHT <br /> �B171CDING $ /' VALUATION OF TOTAL CONSTRUCTION <br /> !(� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING � <br /> OMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY [� 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 REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # I <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 License # �. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I 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 Facilides & 1 dumpster; Site Wor1c 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, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compUance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> """PROPERTY SURVEY requlred for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Confractor sign back of application, notariied <br /> If over s2500, a Notice of Commencement is required. (AIC upgrades over 57500) <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 AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubUc roadways..needs ROW <br />