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s,s-�au-uozu City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Da�e Recefved ' � Z(�� �� Phone Co�tact for Permittin -- <br /> Owner's Name v ` a Owner Phone Number <br /> Owner's Address Owner Phone Number C <br /> Fee Simple Titleholder Name � er Phone Number C —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ] LOT* �� <br /> SUBDIVISION PARCEL ID#�— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VNORK PROP03ED B NEW CONS7R 8 ADD/AL7 Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK "C' rG�` L f ' <br /> � <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT �� <br /> OBUILDING a VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENVERGY Q W.R.E.0 <br /> QPLUMBING a <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � f�� l � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address Ucense# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# C <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURREh Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY — <br /> SIGNATURE REGISTERED FEE C RREA Y <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Bufiding Pians;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)workfng days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles b 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Bufiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshuction. <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new proJects.All commerciai 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&Contractor sign back of application,notarized <br /> If over 52500,a Notice ot Commencement is requlred. (A!C upgradea 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 Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades AJC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />