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� a ais-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bwlding Department <br /> Date Received L/ 1 <br /> J ��✓ Phone Contact for Permitting � � _ pc <br /> � � 1 � 1 1 � � 1 1 1 i 1 - <br /> Owner's Name Q Owner Phone Number <br /> Owners Address � Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS � � <br /> LOT# <br /> SUBDIVISION PARCEL ID# "�I V� p �D � �3 <br /> (OBTAINED PROM PROPERTV TAl(NOTICE) <br /> WORK PROPOSED B WSTALLSTR B REPAIRT � SIGN O � DEMOLISH <br /> PROPOSED USE � SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK ��D D <br /> BUILDING SI2E SQ FOOTAGE HEIGHT C� <br /> �BUILDING $ � O� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �/ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � �� �r, <br /> �GAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � J� <br /> / <br /> BUILDER OMPANY <br /> SIGNATURE REGISTERED Y I N FEE CUR Y/N • <br /> Address � 7� License# ��„� � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass License# � -� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License k -� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y I N <br /> � ' <br /> Address License# �--� <br /> OTHER COMPANY -� <br /> SIGNATURE REGISTERED Y! N FEE CURREn 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 le�(10)working days after submittal date. Required onsile,Construction Plans,Stortnwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumps[er;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities R 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 reqwred for all NEW construction. <br /> Direcbons.• <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicalion,notanzed <br /> If over 52500,a Notice of Commencement is requfred. (A!C upgrades over 57500) <br /> " Agent(for ihe contractor)or Power of Attomey((or 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(PIoUSurvey/Footage) <br /> Driveways-Not over Coun[er if on public roadways..needs ROW <br />