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sis-�so-oozo City of Zephyrhills Permit Application rax-���-��u-���� <br /> Building Department <br /> Date�Received � O �q' � Phone Contact for Permitting ��� 5 � ��' � <br /> Owner's Name 'VI.1 � Owner Phone Number <br /> Owner's Address � �� Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> (I` � 1 ,, i� LOT # <br /> JOB ADDRESS b "� V <br /> SUBDIVISION � PARCEL ID# � —� � ! � I ' �� O ~ � Q � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME Q STEEL 0 OTHER � <br /> DESCRIPTION OF WORK � O � G 5 ` �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING � �� ��% <br /> � MECHANICAL $ � n�� � O VALUATION OF MECHANICAL INSTALLATION <br /> � l .�. <br /> L���' / <br /> � GAS � ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY � S G � <br /> SIGNATURE REGISTERED Y I N FEE CURRENT / N <br /> Address � � � `� V� License # G ��E/ � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y 1 N <br /> Address License # � <br /> RE5IDENTIAL 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 Pians 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 construction. <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 required for alt NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sig� back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> *' Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />