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e�a-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 8uilding Department <br /> Date Received Phone Contact for Permittin � — <br /> Owners Name � �� Owner Phone Number '� ' � � <br /> Owner's Address .�'(.. Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Add►ess <br /> JOB ADDRESS � 1 1 UC K_ �h.J LOT# � <br /> SUBDIVISION PARCEL ID# � oZ • • �_� - � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7N 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR �.�pp� <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � - t' o�I �S �p <br /> BUILDING SIZE 8Q FOOTAGE� HEI(3HT <br /> QBUILDING S � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING a <br /> (,23� <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas 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 cu En Y/N <br /> Address � - � �J.3 S� Ucense# �llL• (,���� <br /> RESIDENTIAL Attach(2)Piot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary FadllUes&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 applicatlon completely. <br /> Owner 8 Contractor sign back of applicadon,notarized <br /> If over i2500,a Notice of Commencement Is required. {AlC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized ietter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shing�es Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />