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s�3 �ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � I <br /> Phone Contact for Permlttin _ <br /> Owner's Name �� Owner Phone Number <br /> Owner's Address �� S� �V � ��-- Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS U � LOT # � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CoNSTR 8 ADD/ALT �] SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM � OTHER <br /> TYPE OF CONSTRU [� BLOCK [� FRAME �� STEEL Q <br /> ( DESCRIP710N OF WORK � � ` ' � �' � , <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> UILDING -- <br /> $ �• �Q ��Vf{LUATION OF T�TAL CONSTRUCTION � <br /> � � � � G't' S p� �(r�iv� vu S <br /> �EL CTRICAL $ A1�Ap SERVICE � <br /> Q PROG.RfSS ENERGY � W,R.E.C.�j �/�w� <br /> Y' <br /> QPIUMBING $ " r ��� Q� � <br /> . / <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTAL TION ' ���� <br /> �i r <br /> QGAS Q ROOFING Q SPECIALTY OTHER �� -�-'"'� f � <br /> FINISHED FLOOR ELEVATIONS � �� <br /> FLOOD ZONE AREA QYES NO f�1� <br /> / <br /> BUILDER . <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � '" <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> L(cense # � <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> IAECHANICAL <br /> 31GNATURE COMPANY <br /> REGISTEREO Y/ N FEE CURRE� Y/ N <br /> Address � <br /> License # <br /> )THER <br /> �IGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y! N <br /> Address <br /> License # <br /> ;ESIDENTIAL Attach (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) worlcing days after submlttal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities $ 1 dumpster; Site Work Per►nit for subdivisions/large projects <br /> OMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construc6on. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> IGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""*PROPERTY SURVEY requlred for all NEW constructlon. <br /> irections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement ts required. (A/C upgrades over 57500) <br /> Agent (for the co�tractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> /ER THE COUNTER PERMITTING (Front of Application Only) <br /> �roofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />