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- • eis-�so-oozo City of Zephyrhills Permit Application ` Fax-813-78�Opp1 , <br /> Building Department � <br /> �r�l <br /> Date Received -� � \ Kr' <br /> � � 1 1 1 1 1 1 g <br /> Phane Contact for Pertnittin � � � ' <br /> 1 1 � i <br /> Owner's Name \ � � � - <br /> i_ Owner Phone Number S• <br /> Owner's Address 7 - - ' �-- <br /> Owner Phone Number M <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS '� � <br /> LOT # <br /> SUBDIVISION <br /> PARCELIDq <br /> WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CoNS7R ADD/ALT 4 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FI�qME � � <br /> STEEL <br /> DESCRIPTION OF WORK � „Q Z <br /> Q,►'1 � , <br /> BUILDING SIZE SQ FOOTAGE � <br /> HEIGHT � <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE <br /> 0 PROGRESS ENERGY Q W.R.E.C. ` <br /> �PLUMBING $ � �`/ �/ <br /> QMECHANICAL $ � `� <br /> VALUATION OF MECHANICAL INSTALLATION ��j O U�"� <br /> GAS Q ROOFING Q SPECIALTY � O T H E R <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> ELECTRICIAN � <br /> SIGNATURE COMPANY <br /> REGISTEREO Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURREA Y/ N <br /> Address <br /> License # <br /> MECHANICAL <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y! N <br /> Address <br /> License # <br /> OTFIER COMPANY v v � <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �� r� +, <br /> ' � . �" License # -� _ <br /> 111111111111111111111111111,1111111 11'llllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets M Building Plans; (1) set of Energy Forms; R-0.W Pertnit for new consVUdion, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construaion Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Faalities & 1 dumpster; Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safery Page; (1) set of Energy Forms. R-0.W Pertnit for new consUudion. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConsVuaion Plans, Stortnv,ater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work Pertnit for all new projeds. 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 52500, a Notice of Commencement is required. (A!C upgrades over E7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) wvuld be someone with notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> ReroMs if shingles Sewers Service Upgrades A/C Fences (PlotlSurvey/Footage) <br /> U�iveways-Not over Counter if on public roadways..needs ROW <br />