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a�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received � – 1 2 Phone Contact for Permitting – <br /> Owner's Name I I Owner Phone Number 7� , <br /> Owner's Address ���-'' 1f. "' Owner Phone Number ��j�3 y 1�" ���� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ` jJ L� ,,l/� ` LOT# � <br /> SUBDIVISION l� " L ` - PARCEL ID# <br /> (OBTAINED FROA�t PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ( I � YC1 "" / <br /> Yr <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT .. <br /> BUILDING $ ' �O� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS GY � W.R.E.C. <br /> OPLUMBING $ � ! <br /> � � a <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTAL TION � J � <br /> 4' <br /> OGAS [� ROOFING Q SPECIALTY [� OTHER i/1 � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� �� <br /> BUIIDER V� ) �C� COMPANY <br /> SIGNATURE ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 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 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.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 application,notarized <br /> If over$2500,a Notice of Commencement is required. (A!C upgrades over 57500) <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 />