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a�aaso-oazo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � <br /> Date Received <br /> Phone Contact for Permitting _ <br /> Owner's Name Owner Phone Number � � <br /> ` L � <br /> Owner's Address �,�uner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# C� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT �� SIGN Q � DEMOLISH <br /> B INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM �� OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 3Q FOOTAGEC� HEIGHT �� <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS FNERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> �w� � �� <br /> -�__ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI T ''�''� <br /> Q GAS S f <br /> Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO NE AREA �YES ��(� � <br /> -�� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address � License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# C � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP� 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 /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Woric 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&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements�must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"`»PROPERTY SURVEY required for all NEW construction. <br /> r�ll�����f��rr������ <br /> Directions "-'�"'-'-" <br /> Fili out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,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 Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />