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u��-��u-uuzu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name I Pii'1 C' ��, Owner Phone Number �,�" 3 S �s� <br /> Owner's Address �� �� I'V Owner Phone Number <br /> Fee Simple Titieholder Name <br /> Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS �D �, j ���(' l, � ( J � � <br /> LOT # <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE � SFR � COMM C� OTHER �n � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL � <br /> DESCRIPTION OF WORK 1.�, ;�-� .� � � �-/ ,� �' �, � � <br /> v J�r �� C� <br /> BUILDING SIZE SQ FOOTAGE �] HEIGHT �� � <br /> �BUILDING $ v � <br /> � VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ � ����� <br /> VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY <br /> �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER COMPANY `c./ <br /> SIGNATURE <br /> REGISTERE� Y/ N FEE CURRE� Y/ N <br /> Address � <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # � <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER <br /> SIGNATURE COMPANY <br /> REG�STERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> 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 /> Minlmum ten (10) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Ltfe Safety Page; (1) set of Energy Forms. R-O-W Permit for new construcfion. <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 Plans. <br /> ""PROPERTY SURVEY required for all NEW construcdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor slgn back of application, 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 tetter from owner authorizing same <br /> OVER THE COUNTER pER1111TTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not ove�r Counter if on public roadways..needs ROW <br />