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ai3-7so-oo2o City of Zephyrhills Permit Application 1 Fax-813-780-0021 <br /> Building Department .� � � � � i <br /> Date ReFeived ' � __ <br /> 5 � �( Phone Contact for Permitting <br /> Owner's Name � �, Owner Phone Number b {� � � � ' �� � <br /> Owner's Address � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # C� <br /> SUBDIVISION PARCEL ID# � — �lY � �1 "" �� �- � " <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDlALT Q SIGN � MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME � STEEL Q OTHER �t1 <br /> �ESCRIPTION OF WORK Z11j�` � �;;,� �'X1� S�`.�b `, � � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT � <br /> Q BUILDING I$ � VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> 0 ELECTRICAL � AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> 0 PLUMBING $ <br /> � MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> � GAS 0 ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO <br /> BUILDER � COMPANY <br /> SIGNATURE ftEGISTERED 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 /> MECHA A COMPANY 1� I I� I e��' -1 � r � 1 C- <br /> SIGNATU REGISTERED Y/ N FEE CURRENT Y! N <br /> Address �`y �� � V'. � 1 3`��y License # �- C- y �C � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8� 1 dumpster; Site Work Permit for subdivisionsllarge 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 o�site, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 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. (AIC upgrades over $5000) <br /> '" Agent (for the contractor) or Power of Attorney (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 /> �riveways-Not over Counter if on public roadways..needs ROW <br />