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s�a-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received '�3 phone Contact for Permlttin �I � q � I�3 <br /> Owner's Name � G� rI ' Owner Phone Number • <br /> Owner's Address � � L�l �— <br /> �-� � Owner Phone Number <br /> Fee Simple Titlehotder Name Owner Phone Number � <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS � I/� i V� , LOT# �� <br /> SUBDIVISION ��,� � PARCEL ID# � • • 'C,,��,� • � • <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VYORK PROPOSED � NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I�S� !� ` � � l �'n,'� ���� � ( � , <br /> �/ <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT <br /> OBUILDING $ ' � � VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C. <br /> OPLUMBING $ ' �� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER ���"�� v <br /> FtNISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER _ - COMPANY �Q � a, — �� <br /> SIGNATURE REGISTERED / N FEE CURRE� /N <br /> 1�(,1�� <br /> Address \ , '� � m��t ��Z License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y J 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 /> 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 subdivlsions/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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,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 notari2ed 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 roadways..needs ROW <br />