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tl13-/tlU-UUZU City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received _ � �'� Phone Contact for Permittin (_�'�� �tr'� -- .� �" ��� <br /> Owner's Name T� �'� `/�_ ��-5� ' ' �� Owner Phone Number <br /> ONmer's Address Owner Phone Number C_ <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS _,j�� �/ � l LOT# �� <br /> SUBDIVISION � PARCEL ID�! <br /> (OBTAINED FROM PROPERTY 7AX NOTICE) <br /> MIORK PROPOSED NEW CONS7R 8 ADD/AL7 [J SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER �- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> 1 �DESCRIPTION OF WORK Ci�� j2'( �/e, <br /> BUILDING SIZE �-� SQ FOOTAGE HEIGHT �� <br /> � ILDING $ ,t� � VALUATION OF TOTAL CONSTRUCTION <br /> !J <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ I���� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> F�NISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �_ , <br /> BUILDER ' ` COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE�� Y!N <br /> Address Ucense# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y/N <br /> Address License# C <br /> PLUMBER � COMPANY _ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> NIECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y/N <br /> Address Ucense# C <br /> OTHER COMPANY <br /> SIGMATURE REGISTEREO Y! N FEE CURRE�, Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pem►it for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAI. 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)woiicing days aiter submittal date. Required onsite,Construction Plans,Stormwaker Plans w/Silt Fence installed, <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 Engineered Plans. <br /> '"'"PROPERTY SURVEY required for all NEW construcdon. <br /> Directions: <br /> Fill out appiication completety. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (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 PERMI7TING (Front of ApplicaUon 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 />