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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiy�d . <br /> Phone Contact for Permittin �j ( _ <br /> Owner's Name �� L� Owner Phone Number <br /> Ourner's Address � �j Cj �( �� � -� ,- �--� <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 0 3 � � � �� <br /> LOT# �] <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R ADD/ALT C� SIGN �] Q DEMOLISH <br /> B INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK O FRAME � STEEL � <br /> DESCRIPTION OF WORK �U,'�°e_ i ✓j� �p�� , �� C(���,�� <br /> BUILDING SIZE 3Q FOOTAGE�� <br /> HEIGHT C� <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ��LECTRICAL $ S�O� U d AMP SERVICE [� PROGRESS ENERGY <br /> 0 W.R.E.C. <br /> QPLUMBING $ <br /> �i3 7 � � <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS Q ROOFING [� SPECIALTY <br /> �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> DYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY �� �L� Vi � � j"�-��( � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREP Y/N <br /> Address License# �— —� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Mfnimum ten(10)working days aRer 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 Pians w/Silt Fence installed, <br /> Sanitary Faciiitfes&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <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,notaNzed <br /> If over 52500,a Not(ce of Commencement ia required. (A/C upgrades over s7500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public�oadways..needs ROW <br />