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°'3-.°"-""`u C:ity ot Zephyrhills Permit Appiication Fax-813-780-0021 <br /> ' Building Department <br /> Date Received -� <br /> Pho e Contact for Permittin <br /> Owner's Name ' J�l � L� Owner Phone Number <br /> Owner's Address � Owner Phone Number -� <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS � �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> HVORK PROP03ED e NEw CONSTR 8 ADD/ALT C� SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL � <br /> DESCRIPTION OF WORK v ` � ,O ` <br /> �r� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING a <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE�oQ �/ <br /> y��T��S ENERGY Q W.R.E.0 <br /> v <br /> OPLUMBING a <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License <br /> ELECTRiC1AN �/,,L-r�iD, � COMPANY � �'L / <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 /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# -� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Butlding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> SanRary FadBdes&1 dumpster,Site Work Permit for subdivislonsflarge 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permft for ail new pro)ects.All commercial requirements must meet compliance <br /> SIGN PERMIT AttaCh(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consUuctlon. <br /> I • , TT�I���i�l��llf71�lf1��f1��11� <br /> Directions. ` ' <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over S2S00,a Notice of Commencement is required. (A/C upgrades over s7500) <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 5ewers Servfce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />