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s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin — <br /> Owner's Name Owner Phone Number <br /> Owner's Address ' Owner Phone Number �— <br /> Fee Simple Titleholder Na e � Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS LOT# �� <br /> SUBDIVISION �— PARCELADp <br /> � (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALrT � SIGN Q Q DEMOUSH <br /> B INSTALL e REPA►R <br /> PROPOSED USE Q `SFR Q CONyM � OTHER <br /> TYPE OF CONSTRUCTION Q B�OCK Q F ME � STEEL Q <br /> ! � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE � Cl FOOTAGE HEIGHT <br /> QBUILDING $ V LUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ MP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ VAL ATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q S CIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES NO <br /> BUILDER COM NY <br /> SIGNATURE REGIST ED Y! N FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED � Y/ N FEE CURRE� Y/N <br /> � <br /> Address ` License# <br /> PLUMBER COMPANY <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/,N FEECURRE� Y!N <br /> '�. <br /> Address ''�, license# <br /> OTHER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum 1en(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> C�JMMER�IA�. Attach(3)complete sets of Building Plans pius 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 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&Contractor sign back of appNcatlon,notarized <br /> If over E2500,a Notice of Commencement is requlred. (AIC 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(PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />