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g13aso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved �` <br /> Phone Contact for Permittin _ <br /> Owner's Name � d� Owner Phone Number p � o,j��- 3 <br /> 3 7 '_ � <br /> Owner's Address .� ,�a ,l� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q C <br /> DESCRIPTION OF WORK �\L/'�. 4. : <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ '— <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � <br /> W.R.E:e. <br /> �PLUMBING $ ' � r)� <br /> 25 <br /> OMECHANICAL $ �� J. �/n VALUATION OF MECHANICAL INSTALLATIO� �" � � <br /> (_,�` J <br /> OGAS [� ROOFING [� SPECIALTY C� OTHER �� � �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> Address � <br /> License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# C <br /> IAECHANICAL COMPANY �,v <br /> iIGNATURE ,y � �.Qr.i � <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� O� <br /> Llcense# <br />)THER <br /> iIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# �— <br /> tESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy FoRns;R-O-W Permit for�ew 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 />�OMMERCIAL Attach(3)complete sets of Building Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)wo�king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8�1 dumpster.Site Wark Permit for all new projects.All commercial requirements must meet compliance <br /> IGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> irections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requi�ed. (A/C upgrades over ST500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> JER THE COUNTER PERMITTING (Front of Application Only) <br />:roofs if shingles Sewers Service Upgrades A/C Fences(PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />