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a��-�ao-oozo City of Zephyrhills Permit Application F�-a��-�saoo2� <br /> Building Department <br /> Date Recelved Phone Contact for Permlttln �a� g � — 5 <br /> Owner's Name Owner Phone Number �� "'�� L���L <br /> Owner's Address ' �� ��� U ���� Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I �� LOT# � <br /> SUBDIVISION PARCELID# I � —VU ��S � <br /> (OBTAINED FROM PROPERTY TAX N0710E) <br /> WORK PROPOSED B NEW CONS7R� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q <br /> DESCRIP770N OF WORK O 1� �� � � �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ,/ ^� <br /> r �y ► <br /> �MECHANICAL $ pp VALUATION OF MECHANICAL INSTALLATION � ` <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> �d�$ License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY �J�Y1 � ��1 U� <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> Address L License# � � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111I11111111111 <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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large 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. 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 construction. <br /> Dlrections.• <br /> Fill out application completely <br /> Owner 8�Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement Is requtred. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />