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ais-�SO-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received � ph e Cont�ct for Permittln — <br /> Owner's Name � <br /> '' � � V Owner Phone Number <br /> Owner's Address l �� Owner Phone Number � <br /> Fee Simple Tltleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Addre ' <br /> i � � LOT # � <br /> JOB ADDRESS i ' <br /> � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q LOCK � Q FRAME � ST,EEL Q <br /> DESCRIPTION OF WORK � � <br /> ,`��' � �• � � �� ` � / - / � �.., ;-�, <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � �J Ci AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I` J <br /> QPLUMBING $ <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> 6UILDER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License <br /> f / / <br /> ELECTRICIAN �� j / , / ✓ ,.� COMPANY � � �1,� G �, • �-- L� � �G <br /> SIGNATURE V /� REGISTERED N FEE CURRE� Y/ N <br /> Address License # � � �/ O � <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 License # r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set af Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) woricing days after submittal date. Required ansite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Per►nit 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 construcUon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construcdon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciliGes & 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 /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 32500, a Notice of Comme�cement is required. (A!C upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Fropt of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fence's (PIoUSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />