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-sis-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received py 2 _ � � <br /> Phone Contact for Permittin O 1 J <br /> L -7 � � <br /> Owner's Name � ! �� � Owner Phone Number <br /> Owners Address �/ c G/ � n� � � (� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � O ( 1 LOT # � � <br /> SUBDIVISION PARCELID# I��Z�-ZI-DO�D" Z'ZQU - dO7O <br /> (OBTAINED FR�OM PROPERTY TA Ti�E� DEMOLISH <br /> WORK PROPOSED e NEw CONSTR e ADD/ALT 0 SIGN <br /> INSTALL REPAIR ��� <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPiION OF WORK � � - � <br /> BUILDING SIZE SQ FOOTAGE V� HEIGHT �� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � " % �/�., <br /> I.1/J �iKJ <br /> !✓ `�' � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> QGAS Q ROOFING Q SPECIALN � OTHER I, <br /> FINISHED FLOOR ELEVATIONS J <br /> FLOOD ZONE AREA QYES NO <br /> BUILDER COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN y/�.J <br /> Address <br /> License # <br /> ELECTRICIAN COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN Y/ N <br /> Address <br /> License # <br /> OTHER /. COMPANY ��SS � � {� '��1 <br /> SIGNATURE ���� � REGISTERED Y N FEE CURREN Y/ N <br /> Address . � License # <br /> 1111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; 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 & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a L'rfe 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 & 1 dumpstec 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 /> Owner 8 Contractor sign back of appliration, 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) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgredes A/C Fences (PIOUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />