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s�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � <br /> Phone Contact for Permlttin <br /> Owner's Name ,/ e, � Q��=� �,� Owner Phone Numbe �,�— /�_ ,j <br /> r Owner's Address �/ � ��i �p � A� � Owner Phone Number �---_ <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � JOB ADDRESS 3 y� p C�' i p — LOT # �� <br /> ° SUBDIVISION ��,�'/�L� P[�� n.��z= PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR t ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL g REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL [� <br /> DESCRIPTION OF WORK C/I,�J��,�� � � � �� ��-�,( � <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT <br /> BUILDING $ <br /> ��QQ . pd VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � z35 "v /,� �� /� ��i <br /> 1 ���� 'r ,p ��'`�, <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION [�v� �� ��� C/ <br /> � r <br /> OGAS [� ROOFING Q SPECIALTY � OTHER � 0 � � <br /> �p i CI� uP �" �CaZ <br /> FINISHED FLOOR ELEVATIONS FLO ZONE AREA QYES NO �l/l � <br /> � � � ,� f� tr� <br /> BUILDER COMPANY ���'� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ` License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � � <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 # —� <br /> OTHER COMPANY <br /> SIGNATURE 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. 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 construcGon. <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 /> Dlrections: <br /> Fiil out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement is required. (A/C upgrades over:7500) <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 (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 />