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a�a-�aoyoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittln <br /> Owner's Name <br /> Owner Phone Number <br /> Owner's Address ,S 'C��?-- S' <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE� <br /> NEw CoNSTR ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL � <br /> DESCRIPTION OF WORK ,�'%'�// <br /> BUILDING SIZE SQ FOOT E�� , <br /> HEIGHT <br /> QBUILDING $ '—' <br /> �Q ALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE <br /> Q PROGRESS ERGY [� W.R.E.0 <br /> �PLUMBING g j�� <br /> G' <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICfAN <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> cense <br /> DTHER <br /> 51GNATURE COMPANY <br /> REGISTERED Y FEE C RE� Y/ <br /> Address <br /> License# � <br /> tESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construc6on, <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 subdivisions/large projects <br />:OMMERCIAL 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 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> tGN PERMIT Attach(2)sets af Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> irections: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over:7500y <br /> Agent{for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> VER THE COUNTER PERMITTING (Front of Application Only) <br />:roofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />