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_ eisaso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received � <br /> \ <br /> �_� _ Phone ConWct for P rmittin <br /> OwneYs Name Owner Phone Number s � <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS LOT# � =— � —J <br /> SUBDIVISION � PARCEL IDp � ` , <br /> (OB AINED ROM PROPER TAX NO710E <br /> WORK PROPOSED B NEW CONSTR 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 � '\ <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W R.E C. <br /> �PLUMBING $ / � <br /> MECHANICAL $ � i I � � <br /> O VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISiERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN �COMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 4 <br /> License # <br /> PLUMBER COMPANY r <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y N <br /> Address � <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREI. Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> 111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns, R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 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 Fortns. 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 & 1 dumpster Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered P�ans. <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 52500, a Notice of Commencement is required. (A/C upgrades over E7500) <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 (PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />