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slsaso-oozo City of Zephyrhills Permit Application f� / 2,/,�� Fax-813-780-0021 <br /> Building Department �� � ���J <br /> � U o /�. <br /> Date Received <br /> e Contact for Permitting <br /> Owner's Name - 1 � Owner Phone Number –� <br /> Owner's Address Owner Phone Number <br /> Fee Simple Tltleholder Name � Owner Phone Number �— —� <br /> Fee Simple Titleholder Address " <br /> JOB ADDRESS LOT# �� � <br /> SUBDIVISION , PARCEL ID# r <br /> (OBTAINED FROM PROPERTY TAX NOTiCE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL �� <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE �� � � SQ FOOTAGE �' Z� HEIGHT <br /> BUILDING $ /1� !(� VALUATION OF TOTAL CONSTRUCTION �P Z�oo,�U <br /> U <br /> [�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q 1d1.R,E-.Gr__- <br /> �LUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER r `� COMPANY �Q �Q� 1 1 I�bI � d vL� <br /> SIGNATURE REGISTERED / N FEE CURRE� Y N <br /> Address � ( License# '� L�� <br /> ELECTRICIAN /��� COMPANY CY (�� <br /> SIGNATURE REGISTERED / N FEE CURRE� /N <br /> Address � License# ��- �'�G��� <br /> PLUMBER r �^, A� COMPANY St�( �Ob 1 � �–C DYY1Q., <br /> SIGNATURE !�r '—'� REGISTERED / N FEE CURRE� /N <br /> Address 1p f'11.�. � License# 1� �(}����Q <br /> � n <br /> MECHANICAL � ���� COMPANY � F-'C C, <br /> SIGNATURE REGISTERED / N FEE CURRE� Y N <br /> Address yy �,_. License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RES�DENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit fo�new construction, <br /> Minimum ten(10)working days after submittal date. Required onslte,ConstrucGon Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumnster;Site Wor.k Perm�t fo�s��bd�v'ssiensllarge p�ojects <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,Constructlon 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 /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement is required. (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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />