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s�s-�so-oozo City of Zephyrhills Permit Application Fax-f313-780-0021 <br /> Building Department <br /> Date Received � <br /> �eA- ;�' �'� � �" PhoneConWctforPertniking -- <br /> � V��t� � � 1-r �7 <br /> /� ry.� � Owners Name � �� Owner Phone Number [�� (,J�( <br /> St`�� Owner's Address Y Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS LOT# [� <br /> n l � <br /> SUBDIVISION PARCEL ID# <br /> ( 7AINE FROM PROP RTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER � <br /> NPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � <br /> DESCRIPTiON OF WORK � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ����� <br /> QGAS Q ROOFING Q SPECIALTY 0 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 COMPANY � <br /> SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> e <br /> Address License# �� <br /> PLUMBER COMPANY � I' ,r <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 /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 onsrte,Construction Plans,Stortnwater Plans w/Silt Fe�nce insta�led, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Ptans 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 construdion. <br /> Directions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of appiication,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) <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 Appiication 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 />