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a�s-7ao-oozo City of Zephyrhills Permit Application Fax-ti13-/ttU-UU17 <br /> Building Department <br /> Date Recelved Phone Contact for Permittin — <br /> Owner's Name °� � � !it t� G� Owner Phone Number �.� .� � � � / <br /> Owner's Address �L' f � Owner Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Numbar � <br /> Fee Simpie Tltleholder Address <br /> JOB ADDRESS { �'�"'� LOT # � <br /> SUBDIVISION � , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ���' �� �iY / C�C�S <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> ��BUCLDING $ �`,,��� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> , <br /> BUILDER � � � �� ��� COMPANY <br /> SIGNATURE • REG�Sre�o Y/ N FEE CURRE� Y/ N <br /> Address � r�. 'f�� ..' License # � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address Ucense # � <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/ 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-0-W Permit for new construction,. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Woric 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 constructlon. <br /> Minimum ten (10) wo►lcing days after submittal 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 required for all NEW constructlon. <br /> Dlrections: <br /> Fill out application completely. <br /> Owner & Confractor sign back of appiication, nota�ized <br /> If over s2500, a Notice of Commencement is requlred. (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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />