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s�s-�ao-oo2o City of Zephyrhills F'ermit Application raX-u�s-�nu-uuz� Building Department Date Received ` �� J phone Contact for Permittin �G.- � `� Owner's Name /l/� C� Owner Phone Numbe�-. U — - ,Z Owner's Address c� � ,L. � Owner Phone Number ` Fee Slmple Titleholder Name Owner Phone Numbe� � � Fee Simple Titleholder Address JOB ADDRESS -! J ��T LOT# � SUBDIVISION , PARCEL ID# (OBTAINED FROIyI PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR� ADD/ALT Q SIGN Q �] DEMOLISH INSTALL REPAIR PROPOSED USE j' � SFR Q COMM � OTHER TYPE OF CONSTRUCTION BLOCK � FRAME 0 STEEL Q DESCRIPTION OF WORK �OYQi e I�EtJ� I a �X O'�� BUILDING SIZE I� ��' SQ FOOTAGE S�� HEIGHT �0 I � �, �BUILDING $ �� U� VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. 7 QPLUMBING $ . n �„ �UJ . , I U,� , QMECHANICAL $ VALUATION OF MECHANICAL iNSTALLATION �/ OGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER j� I J COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address ' License# � � ELECTRICIAN X ��COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � PLUMBER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C � MECHANICAL COMPANY —� SIGNATURE REGiSTERED Y/ N FEE CURRE� Y/N Address License# � � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � —� RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bu(Iding Plans;(1)set of Energy Forms;R-O-W Permit for new consVuction,. Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Worlc Permit for subdivisionsllarge projects 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. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compUance SIGN PERMIT Attach(2)sets of Engineered Plans. �""PROPER7'Y SURVEY required for all NEW construction. Directions: Fill out application completely. Owner 8 Con�ractor sign back of application,notarized If over s2500,a Notice of Commencement is required. (A/C upgrades over;7500) ** Agent(for the contractor)or Power of Attomey(for the owner}would be someone with notarized letter from ovmer authorizing same OVER THE COUNTER PERMI7TING (Front of AppUcatlon Only) Reroofs if shingles Sewers Service Upg�ades A/C Fences(Plof/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW ;