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ais-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � � -- O <br /> Dafe Received — •- 1✓ phone ConWCt for Pertnitting <br /> �—nTrrr 'T <br /> Owner's Name Owner Phone Number <br /> Owners Address 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 /> (O8T INED F OM PROPERT TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR� ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE '-°Q,� SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION � BLOCK Q FRAME � ST EL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> �BU�LDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W R.E.C. <br /> �PLUMBING $ n :� ( � <br /> /� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> ELECTRICIAN CO ANY <br /> SIGNATURE R I T RED Y/ N FEE CURRE� Y/N <br /> Address � �icense# <br /> PLUMBER COMPANY � <br /> SIGNATUR REGISTERED Y N FEE CURRE� Y N <br /> Add ress 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 /> Add ress License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 <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,Stortnwater 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,Stortnwater Plans wl Sdt 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&Contractor sign back of apphcation,notanzed <br /> If over E2500,a Notice of Commencement is required. (AIC upgrades over 57500) <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 PERMIiTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIot/SurveylFoolage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />