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a�s-�so-oozo City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date�Received Phone Contact for Permfttin � 3 �g Z .. ,�G'/ <br /> Owner's Name � l�(f . �J�QS��i� Owner Phone Number <br /> Owners Address J � s d/,Z s ,. � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADORESS LOT� � <br /> SUBDIVISION �— PARCEL IDM <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT [_] 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 ,(� (J <br /> BUILDING SIZE —� SQ FOOTAGE HEIGHT <br /> OBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> [�MECHANICAL $ OQ q/ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY C] OTHER <br /> FINISHED 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 /> Add�ess License# �— <br /> MECHANICAL � COMPANY �'rT 11 S j/L G � � C <br /> SIGNATURE •� REGISTERED Y/ N FEE URRE� Y/N <br /> Address License# C�9 L o �.s� �' <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/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 construc6on, <br /> Minimum ten(10)working days aRer submittal date. Requfred onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> 5anitary 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 conshuction. <br /> Minimum ten(10)working days after submittal date. Req iired onsite,Construction Plans,Stct►nwater Plans w�S�If Fenr,e in�talled. <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 Enginee`ed Flans. <br /> "'"'PROPERTY SURVEY required for all NEW consVuctio�n. <br /> Directlons: ". <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over t2500,a Notice of Commencement is required. (A!C upgradea over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)wouid be sameone 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(PIoVSurvey/Footage) <br /> Oriveways-Not over Counter if on public roadways..needs ROW <br />