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a�saso-oo2o City of Zephyrhills Permit Applicatfon raX-n,�-�au-ooz, <br /> Building Department <br /> Date Received phone Contact for Permittin �J dv —� � �v <br /> Owners Name f't � � C_ Owner Phone Number �� <br /> Owner's Address � g °t- ! a- �M l VC Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phona Numbar <br /> Fee Simple Tltleholder Address � g �� i 1' �l-Dl� � V� <br /> JOB ADDRESS LOT # � <br /> SUBDIVISION � , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> �DESCRIPTION OF WORK �CC� X� J�OL C�CJ '^' �� �� <br /> BUILDING SIZE �— � SQ FOOTAGE� HEIGHT <br /> � QBUILDING � 3 QD _f VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMB�NG $ � <br /> QMECHANICAL $ 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 # � � <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-O-W Perrr►it for new construction,- <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisfons/large 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) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facllities 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 construcUon. <br /> Dlrections: <br /> Fill out application completely. <br /> Owner & Confractor sign back of applicaUon, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over;7500) <br /> "" Agent (for the contractor) or Power of Attomey (for the owner) wouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />