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s;3-7ao-oozo City of Zephyrhills Nermit Application hax-ts7,3-ItsU-UU"L7 <br /> Building Department <br /> Date Received <br /> '� Phone Contact for Permittin _ <br /> Owner's Name � ,' k, � Owner Phone Number �— o�.$e�-- �55� <br /> Owner's Address �� �-� f Owner Phone Number � l �O' 7— °� �� �' <br /> Fee Simple Titleholder Name �— Ownar Phone Number � � <br /> Fee Simpie Tltleholder Address <br /> JOB ADDRESS 7� ,!c' a C �'� ,r� LOT # C� <br /> SUBDIVISION �/ ^, � ��f �,J � a t .{ , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 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 � <br /> DE3CRIPTION OF WORK E� AJ� d��. � � r� e�J de, y� j` � <br /> BUILDING SIZE � � SQ FOOTAGE �� HEIGHT <br /> BUILDING $ _ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.�G:� <br /> QPLUMBING $ � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> /r � <br /> QGAS Q ROOFING � <br /> Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N E CURRE� Y/ N <br /> Address ' License # —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREO 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 Ucense # <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 Permit for new wnstrucGon,. <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 subdivisions/large 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) wo►lcing days after submittal date. Required onstte, Construction Plans, Stormwater Plans w/ Silt Fence insialled, <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 consUucUon. <br /> Directions: <br /> Fiil out application completely. <br /> Owner 8 ConFractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement is required. (AIC upgrades over s7500) <br /> *' Agent (for the contractor) or Power of Attomey (fo� 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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />