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sis-�eo-oozo City of Zephyrhills Permit Application Fax�13-780-0021 <br /> Budding Department <br /> Date Received Phone Confact for Permittin <br /> `�r4�. !yT `-��'� l� 3 <br /> Owners Name C� e hone Number 1��� �"� -� <br /> Owner's Address � � � � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � LOT# � <br /> SUBDIVISION PARCEL IDN � �� - ' �� O�� <br /> (OBTAINED FROM PROPERTV TAX NOTICE� <br /> WORK PROPOSED � NEW CANS7R 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPl10N OF WORK ��"`�'� C <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R E C <br /> �PLUMBING $ <br /> �yL�MECHANICAL �p�� VALUATION OF MECHANICAL INSTALLATION <br /> T- <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FiNISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY ��(l.�G ���/�G� <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> PLUMBER COMPANY <br /> SIGNATURE aECisTEREO Y/ N FEE cuRRENr Y/N <br /> Address License# <br /> /}� �}�' �♦ ' <br /> MECHANICAL /--+-!�-�+-J- _.-�"' COMPANY ,1_ J Y1 � <br /> SIGNATURE �t, REGISTERED Y I N FEE CURRENT /N <br /> Address 1 Z l�l License# <br /> OTMER COMPANY <br /> SIGNATURE RECisrEREO Y/ N FEE cuRRENr Y/N <br /> Address License# <br /> 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 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 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Budding Plans,(1)set of Energy Forms,R-0-W Permit for new construction, <br /> Mirnmum ten(10)working days aFter submittal date Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster;Site Work Permrt for subdrvisions/large prqects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lrfe Safety Page,(1)set of Energy Fortns.R-0-W Permit for new construction <br /> Mmimum ten(10)working days after submittal date Requved onsite,Construd�on Plans,Stormwater Plans w/Sik Fence instalied, <br /> Sandary Facdrt�es&1 dumpster Srte Work Pertnit for all new projects.All wmmeraal reqwrements musi meel compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans <br /> ""PROPERTY SURVEY reqwred for all NEW construction <br /> Directions: <br /> Fill out application completely <br /> Owner&Con[ractor sign back of apphcat�on,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the conirador)or Power of Attomey(for the owner)would be someone with notanzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-NOt over CouMer rf on pubhc roadways.needs ROW <br />