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sis-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Build�ng Department <br /> Date Received phone Contact for Permitting a�� � l-� <br /> rrr rr�- - <br /> � <br /> Owner's Name � t W Owner Phone Number � <br /> Owners Address � 7 r�0 ner Phone Number �--� <br /> 335'�l-�7crL �� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � LOT# � <br /> SUBDIVISION ( PARCEL ID# - -D�(X-�-� y� <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 � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK '�T 1 G� �j <br /> BUILDING SIZE SQ FOOTAGE �I O C� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ � /� f <br /> �h/`✓ � <br /> � �.E <br /> �MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address <br /> License# <br /> MECHANICAL � � n PP H( ' P "��, <br /> s <br /> SIGNATURE '� �i�� R OMP RED Y/ FEE CURRE� Y/N <br /> Address 2„ � ���e� <br /> r <br /> J �cense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# -� <br /> 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 I 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Mirnmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Woric Permit for subdiv�sionsllarge projecis <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 construchon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new pro�ects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY reqwred for all NEW construction <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgredes over 57500) <br /> " Agent(for the coniractor)or Power of Attorney(for the owner)would be someone v�nth notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFOOtage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />