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s�s-�eaoo2o City of Zephyrhills Permit A lication <br /> PP Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> �, �� � -- <br /> Owner's Name .� ��' C�n. � Q� <br /> / Owner Phone Number ��3– 7�c�65�� <br /> Owner'sAddresa O ���/ �-/c� ���- c'�� ,�, <br /> Owner Phone Number <br /> Fee Simple Titleholder Name � � � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� <br /> LOT# <br /> SUBDIVISION <br /> PARCELID# <br /> WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE� <br /> . NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> ' �NSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM <br /> TYPE OF CONSTRUCTION � BLOCK � OTHER <br /> Q FRAME � STEEL � <br /> DESCRIPTION OF WORK L T� _ � �' Q�.�. ,c�, % <br /> CJ�-e-� <br /> BUILDING SIZE SQ FOOTAGEC] <br /> HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE <br /> C_—� 0 PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ <br /> [�]MECHANICAL 1 ��� <br /> $ VALUATION OF MECHANICAL INSTALLATION �� <br /> ��, <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS <br /> FLOOD ZONE AREA �YES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas <br /> License# <br /> ELECTRICIAN <br /> SIGNATURE COMPANY <br /> REGISTEREO Y/ N FEE CURRE� Y/N <br /> Add�ess <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL ,/��„ COMPANY ^�s <br /> SIGNATURE �0,�, � <br /> REGISTERED Y/ FEE CURRE� Y/N <br /> Addres <br /> License# r �� <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# �— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets�f iuilding�lans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)warking days after submittal date. Required onsite,Construction Plans,Stonnwater 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 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 8 1 dumpster.Site Work Permit for all new proJects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "`"PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Ffll out application completely. <br /> Owner&Contractor sign back of appliption,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgradea over s7S00) <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 AppNcation 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 />