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e�s-�so-oozo City of Zephyrhills Permit Application Fax-913-780-0021 <br /> Building Department <br /> Date Received , , � <br /> Phone Contact for Permittin � ���j Q��� <br /> Owner's Name (vl/�� .a% � �y��-- Owner Phone Number <br /> Owner's Address �7 Q 7 7� �J'�'. �� �� � <br /> i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7� �J � Yt° �l L �,2 LOT�t �� <br /> SUBDIVISION PARCEL ID# '" -���� —�;+ —v(' <br /> (OBTAINED F�pROPERTY TA�TicE1 DEMOLISH <br /> 1NORK PROPOSED NEw CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK �lf � f 5/� ,�p �iv� n <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> " $� OD. �Z� <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ /� � �� <br /> � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �J;,� ` � <br /> � <br /> OGAS � ROOFING Q SPECIALTY Q OTHER ��,t'�+� " � <br /> �C �l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES '�t� <br /> BUILDER ���� COM ANY Q�n'c�'� <br /> SIGNATURE �G�i:J'�l/IC 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# <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/N <br /> Addreas 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 subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buitding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worlcing 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.Ali 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 /> Ovmer 8 Contractor sign back of application,notartzed <br /> If over 32500,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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />