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� ais-�saoozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> � Date Received Phone ConWct for Pertnittin <br /> - — <br /> Owners Name 1 Owner Phone Number � <br /> Owner'sAddress Z� 1l� /"'tv OwnerPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS `�i � � LOT# l�� <br /> SUBDIVISION CD PARCEL ID# �{ • r ' p?I ' � �bO� � � O � <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B rvEw CONS7R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK G V � �J` ^�� <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �� <br /> � �2,1 <br /> �ECHANICAL $, 1 � VALUATION OF MECHANICAL INSTALLATION <br /> r.� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address License # <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY V' f'r '�" ��� ► b <br /> SIGNATUR REGISTERED N FEE CURREN Y N <br /> Address �N License # <br /> OTHER COMPANY � <br /> SIGNATURE REGISTEREO Y/ N FEE CURREN Y/ N <br /> Address License # � <br /> 111111111111111111111111111 1111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Pians; (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 L'rfe Safety Page; (1) set of Energy Fortns. R-O-W Permit for new constiuction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence instatled, <br /> Sanitary Fadlities & 1 dumpster Site Work Pertnit 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 construdion. <br /> Direct�ons. • <br /> Fill out application completely <br /> Owner & ConVactor sign back of application, notarized <br /> If over Ez500, a Notice of Commencement is required. (A/C upgredes over 57500) <br /> '" Agent (for the contrac[or) 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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />