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a�a-�so-oozo ;, - '/� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ,�Q�I d`�� � Building Department <br /> � �� ����`�- �-�o � r � s <br /> DateReceived �'"{-�g-=-� � PhoneContactforPermitting �� �y� -- �y�� <br /> Owner's Name Owner Phone Number �'��' � ��� <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �S S � � ��'� � • � LOT # � <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK � c� � �� <br /> BUILDING S�ZE SQ FOOTAGE HEIGHT �� <br /> Q BUILDING $ � VALUATION OF TOTAL CONSTRUCTION ��� U � <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS EN�R6� �R.E.0 <br /> � <br /> Q PLUMBING $ 35,�'� P Ia'�t-S <br /> 1 <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS � ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES QNO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # �— <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED N FEE CUR ENT N <br /> Address � License # ��p <br /> RESIDENTIAL Attach (2) Piot 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, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> San�tary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Pians 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 compliance <br /> SIGN PERMIT Attach (2} sets of Engineered Plans. <br /> *"'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> " Agent (for the contractor) or Power of P;ttorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />