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e�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Received <br /> �_ Phone Contact for Permittin _ <br /> Owner's Name (��E,V ����� � Owner Phone Number <br /> Owner's Address ! � � J Owner Phone Number � <br /> Fee Simple Titlehoider Nama Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> �J <br /> JOB ADDRESS ��C/ �1 �C LOT# j�I <br /> SUBDIVISION PARCEL ID# G I O 0 O D ��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e rvEW CoNSTR B ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTA�L REPAIR <br /> PROPOSED USE '� SFR Q COMM � OTHER —� <br /> TYPE OF CONSTRUCTION Q BLOCK �C FRAME Q STEEL Q �—� <br /> DESCRIPTION OF WORK n - �� � <br /> �J <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.�.✓'r \ <br /> QPLUMBING $ / ' �/� <br /> � �QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �f <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ^1� �� �"1� <br /> /. '/,l <br /> BUILDER ^� COMPANY ^ SS /V � <br /> SIGNATURE REG�STERED Y N FEECURREN N <br /> Address � <br /> , License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address � <br /> License# <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERFD Y/ N FEE CURREN Y/N <br /> Address � <br /> License# <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br /> Address � <br /> License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> IIIIIIIIIIIIIIIIIItllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENIIAL 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,Stortnwater Plans w!Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)compiete 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/SiH Fence installed, <br /> Sanitary Facilities&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 /> ""PROPER7Y SURVEY required for all NEW construction. <br /> �' 1 1 1 1 1 <br /> Directions: ^�'�^^^^��`^^�•++�T' 'r+—'++�+�+— <br /> Fill 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$7500) <br /> "' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />