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a�s-�ao-oozo City of Zephyrhills Permit Application Fax-�313-780-0021 <br /> Building Department <br /> 7ate Received � � �—j 3 Phone Contact for Permitting — J <br /> � � � �•1 1 1 1 1 1 � i � <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �/ S /O LOT# [� <br /> SUBDIVISION l(/ PARCEL ID# � <br /> (OBTAINED FROM PROPERTY TFU(NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL R IR <br /> PROPOSED USE � SFR � COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q �� <br /> DESCRtPTION OF WORK �T lJ J C� � �Q�A 3f V �.G Zy coak�a I Ca S <br /> BUILDING SIZE � SQ FOOTAGE� HEIGNT � <br /> 0 B��v ��. $ VALUATION OF TOTAL CONSTRUCTION ��`�,l`q �/ v <br /> O / �� <br /> �LECTRICAL $ � (� AMP SERVICE Q PROGRESS ENERGY �/ W.R.E.C. <br /> OPLUMBING $ ___._..._�.__^ M1 `�� <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,� � `� �,J/ ��M. � � <br /> � - <br /> ���� 5 <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �L / � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �T/ <br /> N,;c.c��G� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Addresa License# � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGiSTERED Y/ N FEE CURRE� Y/N <br /> Address License it � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License# � <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTER� Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> �OTHER OMPANY N��D(GK �,�/1� y� (L������T <br /> SIGNATURE EGISTERED Y/ N FEE CuR�n Y/N f <br /> Address <br /> 1 /�v33b�lLicenset! �WW�r/� �� � ���" <br /> I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 �r��� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(t)set of Energy Forms;R-O-W Pertnit for new construction, F <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Ariach(3)complele sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permil for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanilary 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 construction. <br /> Direct�ons:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement la required. (AIC upgrades ovar E7500) <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 NC Fences(PIoUSurvey/Footage) <br /> Drivaways-Not over Counter if on public roadways..needs ROW <br />