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sis-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received Phone Contact for Permitting _ �I �- <br /> T�� r��r� �r� r <br /> Owner's Name Owner Phone Number g <br /> Owner's Address �TI Owner Phone Number �- <br /> Fee Simple Titieholder Name �Q�NT/�! �� Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS / �( � <br /> LOT# L� <br /> SUBDIVISION PARCEL IDii c�'�'� S <br /> (OBTAINED FROM PROPERTY T NO <br /> WORK PROPOSED �EW CON57R e ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION �/BLOCK � FR,4ME � STEEL � <br /> DESCRIPTION OF WORK �NS� I, �� GJ �� �� ���n <br /> BUILDING SIZE ��'�S(jSGlk.1� SQ FOOTAGE O HEIGHT �� „ <br /> ��s��� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTI ��� � ���Q�. <br /> �ELECTRICAL $ '/�/� AMP SERVICE � PROGRESS ENERGY � W.R.E.C. . <br /> VV <br /> QPLUMBING $ <br /> !�' ���: L�L�Z'tL1C� r's f-f�01[.� /71f�D �v �"lC�lStz� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i , / � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � �1����s S)��' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � a <br /> ��'`'' ��,.�;�- <br /> BUILDER \ COMPANY 1�,�A'�-� <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 License# �� <br /> � <br /> ►LUM6ER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large 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,Stortnwater 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 construction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/FOOtage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> ,..a.-._.._ <br />