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ais-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received ? � ��/3 Phone Contact for Permitting ��� -- O O �I� <br /> � � � � � � � � - - - -1 1 1 i 1 <br /> Owner's Name � Owner Pho�e Number <br /> Owner's Address � � cT• Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � I <br /> Fee Simple Titleholder Address <br /> 1 � 0 <br /> JOB ADDRESS LOTi! <br /> SUBDIVISION ��Pt+A V�� PARCEL ID# ��CJ' � � �� � <br /> (OBTAINED FROM PROPERN TA%NOTICE) <br /> WORK PROPOSED e NEW CON57R 8 ADDlALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM � OTHER <br /> TYPE OFCONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK �VI� � �.1 � I � C <br /> BUILDING SIZE � s Q FOOTAGE� HEIGHT � <br /> -r�rrr-r-r-r-r r'r'T"rr'r'm-T�- �"rtT <br /> uE3UILDING la � VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R E.0 <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> L_�GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 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# <br /> � MECHANICAL � COMPANY � W� ( � <br /> SIGNATURE N� REGISTERED Y N FEE CURRE� Y/N <br /> Address h License# ! -I <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> I 1 1 I I 1 1 I 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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 aker submittal date. Required onsite,Construchon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 7 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,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanrtary FaciliUes&1 dumpster Site Work Permit for all new projects.All commercial reqwrements must meet comphance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions.• <br /> Fill out apphcation completely <br /> Owner&Contractor sign back of applicabon,no[anzed <br /> If over 32500,a Notice of Commencement is required. (A/C upgredes 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 PERMII"fING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter rf on pubhc roadways.needs ROW <br />