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e�aaeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin _ <br /> Owner's Name �� cc� � Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name U� 6,`�fl,V Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -( � � �/� �� LOT# � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM �� OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q (-- <br /> DESCRIPTION OF WORK <J��U'�I� /�(�� e La.c�{titen l <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ <br /> VALUATION OF TOTAL CaNSTRUCTION <br /> DELECTRICAL $ AMP SERV�CE � PROGRESS ENERGY <br /> Q W.R.E.C. <br /> �PLUMBING $ � <br /> ��� � • <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � /���� <br /> � ' <br /> �GAS Q ROOFING Q SPECIALTY C� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO C �p �(�j <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address <br /> License# <br /> S G AT RE COMPANY /�� �j� �(,�`j'�b��� <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address l � � ���f,Q �— ,1�5 License# l ,Z� � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit fo�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 Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.AI�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 /> Owner 8 Contractor sign back of application,notarized <br /> if over E2500,a Notice of Commencement is required. (A/C upgrades over 37500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized 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 />