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/ <br /> , e�s-�go-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> r' <br /> Date Received phone Contact for Permittin -- <br /> Owners Name Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titlehoider Name ��b � Owner Phone Number � <br /> Fee Simple Titleholder Addresa <br /> J06 ADDRESS LOTA� � <br /> SUBDIVISION PARCEL ID# <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTIpN Q BLOCK FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING a VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENER ----Q- W.R.E.C. <br /> OPIUMBING a `�. <br /> ' � � _ <br /> MECHANICAL LUATION OF MECHANICAL INSTALLA ION � � <br /> � <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <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 CURRE� Y/N <br /> Add�ess License# �- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY � �CS � I/l�'I/ <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pennit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary FaGflties&1 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)wo►king days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster.Site Wo�lc Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"'"PROPERTY SURVEY required for all NEW consVuction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Noti�ce of Commencement is required. (AIC 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 P�RMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />