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s�3-�so-oozo City of Zephyrhills Permit Application � " r'vL(J.� Fax-813-780-0021 <br /> Building Department --.� ` <br /> ,r ' <br /> )ate Received phone Contact for Permittln — <br /> )wner's Name .�-� �'� � Owner Phone Number /j - 7,1�c�' G�,S Z� � <br /> �� <br /> )wners Address � 3 �- � � . ° � ' 4 � �1� Owner Phone Number <br /> 'ee 5imple Titleholder Name � �' � Owner Phone Number � <br /> 'ee Simple Titleholder Address <br /> � � ,/ � <br /> IOB ADDRESS f� �' ; � v - �" �-t.- . LOT # <br /> iUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED e NEW CONSTR e ADDlALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE Q SFR Q COMM � OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> y� ` , <br /> DESCRIPTION OF WORK (� � � �l• <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> OBUILDING $ j -� `, VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <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 /> � � /� <br /> BUILDER ' COMPANY �/�? A ' G G J <br /> 51GNATURE ` u'�� l �"�' ,� �, , �. REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> DTHER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 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 /> Minimum ten (10) working days after submittal date. Requfred 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 construcdon. <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 commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "`"PROPERTY SURVEY requlred for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Cort�menceinent is required. (A/C upgrades ove� 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMITTINt3 (Front of Applicadon Only) <br /> �eroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />