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s�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ,�, Phone Contact for Permittin _ �� � <br /> Owner's Name "li✓ Owner Phone Number � �� l <br /> Owner's Address j� � � � �J Owner Phone Number �— <br /> Fee Slmple Titleholder Name �— Owner Phone Number �— --� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS /� � C � LOT # C� <br /> t � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR Q ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL Q� REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ` <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ` EIECTRICAL $ � �-� AMP SERVICE/j�� ��� PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � � v � <br /> ,�i G <br /> A ��v <br /> QMECHANICAL $ VALUATION OF MECHANICAL iNS� ON � � /� <br /> r � <br /> � <br /> QGAS Q ROOFING Q SPECIALTY � O <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> , S NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> -, <br /> ELECTRICIAN '� COMPANY - �_ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address e License # <br /> PLUMBER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y I N <br /> Address License # �— <br /> OTHER COMPANY <br /> 31GNATURE 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) wo�icing days after submittal date. Requlred onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislonsAarge 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 Facilitfes 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 all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement ia required. (A/C upgrades over s7500) <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 Appllcation 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 />