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s�s-7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> �, J � <br /> Date Received / Phone Contact for P ittin `_ �-- - <br /> r , � .: :. --- .., <br /> Owner's Name "Ofnrner�hone Number <br /> Owner's Address � � V`Q- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS . LOT # �� <br /> SUBDIVISION . PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � � l C' � <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> � UILDING $ ��;j� �LU ON OF TOTAL CONSTRUCTION <br /> �'" � <br /> �ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ` � _ �?•?C�_ <br /> L.._ - _~-___-�---�.__ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALU�� �ON �,livti�'%^ `� <br /> �__. ... �� �� � <br /> GAS ROOFING SPECIALTY aTHER ��!�� <br /> � 0 � 0 ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I� <br /> � <br /> BUILDER COMPANY '" <br /> SIGNATURE � �� �GISTERED' � / N FEE RRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER D ` COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL ��� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 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 FoRns; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construcaon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Pem►it 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 aRer submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed, <br /> Sanitary FaciliUes 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 construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> ** Agent (fo� the contractor) or Power of Attomey (for the owner) would be someone wfth 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 />