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a�3aso-oazo City of Ze�hyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received -- �3' l(� <br /> Phone Contact for Permittin __ <br /> Owner's Name �S ' Owner Phone Number <br /> Owner's Address � ' Owner Phone Number <br /> Fee Simple Titteholder Name � � Owner Phone Number �— —� <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS � LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CON57R ADD/ALT [� SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEEL Q <br /> DESCRIPTION OF WORK r <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ (��—�� VALUATION OF TOTAL CONSTRUCTION <br /> I Id � <br /> QELECTRICAL $ AMP SERVICE PROGRESS EN <br /> � ; . �_`'�..,;,.,,.�,. <br /> rx rcz5�. <br /> ,`� <br /> OPLUMBING $ ��" �� �� � <br /> ��C��� <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO �5(1�= Z �Z <br /> .J <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> -���� �✓ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILOER �Q��±,��� '��� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CU RE� Y/N <br /> Address License# r <br /> ELECTRiCIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I 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 /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address 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 ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciilUes&1 dumpster;Site Work Permit for subdivisionsAarge 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 installed, <br /> Sanitary Facilities 8�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 consUuction. <br /> Directions: <br /> Fili out apptication completeiy. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over E2500,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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />