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' 813 '7ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> )ate Received phone Contact for Permfttln — <br /> hvner's Name `v� � � (' NS Owner Phone Number �..� — � �� '�f <br /> )wner's Address �' l3 � 5 -�� �� S r� Owner Phone Number <br /> �ee Simple Titleholder Name � � Owner Phone Number <br /> 'ee Simple Titleholder Address <br /> IOB ADDRESS � � I 5 1 '� � J�' LOT # � <br /> iUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE Q SFR Q COMM � OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� � 3— ( � � Qfa ( �t. � �oc.C� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPIUMBING $ <br /> QMECHANICAL $�,1 Q � VALUATION OF MECHANICAL INSTALLATION <br /> �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CuftrtEn Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Llcense # � <br /> PLUMBER � COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL . COMPANY V �� � ' ' <br /> 51GNATURE REGISTEREO Y/ N FEE CURRE� / N <br /> Add�ess v � / G'�/ ��,�License # � <br /> OTHER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy FoRns; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Requlred 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 constructio�. <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 all new projects. All commerclal requirements must meet compliance <br /> 51GN PERMIT Attach (2) sets of Engineered Plans. <br /> '"'*PROPERTY SURVEY required far all NEW construcUo�. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement (s requfred. (AJC upgrades over 57500) <br /> " Agent (fo� the contractor) or Power of Attomey (for the owner) would be someone with notarized tetter from owner authorizing same <br /> �VER THE COUNTER PERMITTING (Front of Application Only) <br /> 2eroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />