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a�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��� ���. pho�e Contact for Permfttfn -- <br /> Owner's Name Owner Phone Number <br /> Owner's Address r1� Phone Number � <br /> Fee Simple Titleholder Nam er Phone Number -1 <br /> Fee 3imple Titleholder Addresa <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION � PARCEL IDN <br /> (OBTNNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �- y <br /> BUILDING SIZE SD OTAGE� HEIGHT <br /> BUILDING � � � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGF�S ENERGY [� W.R.�.C. <br /> ;% / � <br /> OPlUM81NG � � �� v � ' <br /> �,��„� ��' <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION -`��--m---`'l~�r <br /> /"'�f�/� ......-.,.-- <br /> �GAS Q ROOFING Q SPECIALTY � OTHER �(� � �� � „ <br /> �•-~,":- .. ' <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/ N FEE CURRE� Y/N <br /> Address License# r- <br /> PLUMBER � � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � <br /> \ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ <br /> Address Licens # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED EE CUR E� Y/ <br /> Address License# � <br /> RESIDENTIAL Attach(2)Piot 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&1 dumpster;Site Work Permit for subdivisionsllarge 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,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pennit for all new pro�ects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""•'PROPERTY SURVEY required for all NEW constructfon. <br /> Directlons: <br /> Fill out applicatton completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over t2500,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(PIoVSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />