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eis-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Phone ConWCt for Pertnitting <br /> - i - rTTr <br /> Owner's Name �� ��� � Owner Phone Number � <br /> Owners Address Owner Phone Number �— � <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOBADDRESS (- i � �� LOT# � <br /> SUBDIVISION PARCEL ID# � (� p �� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw coN57R e ADD/ALT [� SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � �P S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATtON OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q 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 /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address License # <br /> EIECTRICIAN 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 � � (,I' <br /> SIGNATURE REGISTERED N FEE CURRE� N <br /> Addre 'j� License # <br /> OTHER COMPANY � —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �--� <br /> tlillllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Pertnit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Ptans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Woric Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) comptete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fonns. 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 Pertnit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "*`PROPERTY SURVEY reqwred for a�l NEW construction. <br /> Direcdons: • <br /> Fill out application completely <br /> Owner & Contractor sign back of applicat�on, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizmg same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Y ' <br /> Driveways-Not over Counter rf on pubfic roadways..needs ROW <br />