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a�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin �� -- <br /> Owner's Name '1 � Z � � �' Owner Phone Number '' I lL1b 1 <br /> Owner's Address � ° �� . � ��•�`1p� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � ` � � CJ�� � LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN � DEMOLISH <br /> INSTALL REPAIR � � �� <br /> PROPOSED USE SFR �- COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �T�t1 � �.(:,�`t Q � � ( <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT �] <br /> �BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> i • <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � �i ,`�� <br /> , y <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING Q SPECIALTY Q OTHER <br /> FtNISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE 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# C � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER q COMPANY I�U.i� 1�bCll.� <br /> 31GNATURE \ REGISTERED Y/ N FEE C RE� Y/N <br /> Address �3��� � License# � � ° ,J�]�- .�C:',� <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)woilcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Faclllties 8 1 dumpster;Site Work Permit for subdivfsions/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 commercfal requirements must meet compUance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"*"PROPERTY SURVEY required for all NEW constructfon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of applicadon,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> •• Agent(for the contrector)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 /> Drfveways-Not over Counter if on public roadways..needs ROW <br />