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., sia-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' '"� phone Contact for Pertnittin O� b � <br /> �rrrrT <br /> Owners Name �/ S' � Owner Phone Number / -� � <br /> Owners Address � D'J � / a!� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 0 I I� LOT # � <br /> SUBDIVISION / � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TA% NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIP110N OF WORK � �� V � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY W.R.E.0 ' <br /> QPLUMBING $ e /� / 5( r <br /> / � 1 (/ �\, <br /> �MECHANICAL $ 3 g pa , � VALUATION OF MECHANICAL INSTALLATION _ <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> �--. .--.�..-.�.--r�..-. '�C .... <br /> BUILDER 7 COMPANY I�JEAD �� Jt�G <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �07 LGJ � License # C,i � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address License # � <br /> MECHANICAL � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address License # �—� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREN Y!N <br /> Address License # <br /> 1111111 111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; 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 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) 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 construction. <br /> � L� t• L' <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application, notanzed <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner aulhonzing 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 />