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• ais-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bwlding Department <br /> Date Received � <br /> Phone Contact for Pertnitting - <br /> T y_ �T <br /> Ownels Name � � Y) Owner Phone Number <br /> Ownefs Address �J � �� Owner Phone Number �� <br /> Fee Simple Titleholder Name Owner Phone Number �—� <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS � � � LOT# [� <br /> SUBDIVISION �� PARCEL ID# ' � D <br /> (OBTAINED FROM PROPERTV 7AX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �LQ. a�-�- t� � � � �/ � �5,��/IJ <br /> BUILDING SIZE �—� SQ FOOTAGE� HEIGHT � <br /> -r-r-t-rr'rr'rr <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE /�� 0 PROGRESS ENERGY Q W.R. ��` <br /> T <br /> �PLUMBING $ �y � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` � �� <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> .. t-.t�...r:..i i.-f fr: <br /> BUIIDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY �Q- L <br /> SIGNATURE REGISTERED Y/ N FEE CURRE Y!N <br /> Address / License# �f i 3003� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Li se# <br /> MECHANICAL � n�� �COMP NY � <br /> SIGNATURE J� 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 /> Illlllllllllllllllllllllllllllllllllllllllllllllltlllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bwlding Plans;(1)set of Energy Fortns;R-O-W Permrt for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sili Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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. Reqwred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commeraal 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 8 Contractor sign back of application,notanzed <br /> If over E2500,a Notice of Commencement is required. (A!C 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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />