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s�s-7so-oozo City of Zephyrhills F'ermit Application rax-�,s-��u-uuz, <br /> Building Department � Q���" <br /> � �,��-;�°�-a���� <br /> Date Received Phone Contact for Permittin - <br /> Owner's Name �- � Owner Phone Number � �7 �( Z �� <br /> Owner's Address S � \}� 1ti2� Owner Phone Number �— � <br /> Fee 5imple Titleholder Name —� Owner Phone Number �— <br /> Fee Simple Tltleholder Address <br /> S � JOB ADDRESS � � C � ` ��- LOT # <br /> SUBDIVISION , PARCEL ID# � � - � � - � ( - O O � O � v0 I OQ _� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK R�J �,� �P� - Q.fl��'� ' <br /> BUILDING SIZE SQ FOOTAGE ��b � HEIGHT <br /> � OBUILDING $�� � = VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � GY Q W.R.E.C. <br /> QPLUMBING $ � ' /_ (%1 C� <br /> � _,_,_._.___-----°"`" (O v r <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION X � y�?' -�� �"' <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � <br /> ��-�' y�; � <br /> FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA QYES NO Q�f � <br /> �r"� <br /> �kIILDER � --"'"�.�� � , COMPANY O�Q _ 0���- . <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' Lice�se # � <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 REGISTERED Y/ N FEE CURRE� Y/ N <br /> �dH�ress __"'""°""-.�.-----�-......�. ._.,. _.....__.....�.e...... _� <br /> '.,,.,.-n.. ""°'°'°"^""""` `~^, � <br /> � <br /> THER � <br /> / SIGNATURE .r � R OMP R Y/ N FEE CURRE� Y/ N �, <br /> Address License # �— � � <br /> iiE�IQ_ENTIAL Attach (2) Plot Plans; (2) sets of Buflding Plans; (1) set of Energy FoRns; R-O-W Permit for new wnstruction,, f <br /> �� (Vlinimum fen (iU) wo'ikTng�days after"�t5b»tltt�tf date. Required or�site, Cor►st�ctioR-P.lans, S�ormwater Plans w/ Silt Fence installed, -` <br /> Sanitary Facilltles 8 1 dumpster, Site Work Permit for subdivisions/large projects �""' `""" '" °"`, ""'' " <br /> COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new consUuction. <br /> Minimum ten (10) working days after submittat date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaGlities 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'*PROPERTY SURVEY requlred for all NEW construction. <br /> Directlons: <br /> Fiil out application completely. <br /> Owner & Confractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement ts required. (A!C upgrades ovar i7500) <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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br />