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a�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � �J � �L <br /> b ' Phone Contact for Permittin ZS _ <br /> Owner's Name � �kc ��C�/�� Owner Phone Number 6/� - y�s y9� � <br /> Owner's Address y� � s Owner Phone Number C <br /> Fee Simple Titteholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `I � I � S+ 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 Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q C <br /> DESCRIPTION OF WORK �J / /'�C FC�1 C C <br /> BUILDING SIZE � �FOOT GE ZG� ' , <br /> �" � HEIGHT �' � <br /> QBUILDING $ <br /> J���I /�JC� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGR���RGY~ ��'`�W.R.E.C. <br /> 1 <br /> OPLUMBING $ <br /> ���.�e,a� ,��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL IN <br /> OGAS � ROOFING Q SPECIALTY � OTHER ' � � ��� �'` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO� - <br /> BUILDER � i� COMPANY o5 i� �S J/� ,�C��C �✓JC� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y f N <br /> S� s'o �� (s��� l� �j <br /> Address License# ��p � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <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)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 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 all NEW construction. <br /> Directions: <br /> Fill out app�ication completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over;7500) <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 Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />