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a�s-�eo-oo2o City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Departrnent <br /> M <br /> Uate Received <br /> Pho C tact for Permittin <br /> Owner's Name <br /> Owner Phone Number <br /> Owner's Address J Owner Phone Number <br /> Fee Simple Titleholder Na � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J06 ADDRESS �� <br /> LOT# <br /> SUBDIVISION PARCEL ID* <br /> (OBTAINED F�PROPERTY TO rice)DEMOLISH <br /> WORK PROPOSED e NEW CONSTR e ADDlALT C� SIGN <br /> INSTALI REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ � <br /> "'b'f1t17'1CTION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE <br /> Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING/ a <br /> I <br /> QMECHANICAL $ VALUATION �ANICAL INSTALLATION <br /> OGAS Q ROOFING SPECIALTY C� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> Ucense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address <br /> ense# <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED N FEE CURREA Y/N <br /> Address <br /> License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding 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 Pfans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary FaclHties&1 dumpster.Site Work Permit for subdivisfonsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new constructlon. <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 Pe�mit for all new proJects.All commercfal requirements 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 application comp��etely. <br /> Owner 8 Contractor sign back of application,notarized <br />.• If over 52500,a Notice of Commencement la requlred. {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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />