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a�3-�8o-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received L_r('_l <br /> Phone Contact for Permittin __ <br /> Owner's Name � {�.l !�/�.� Owner Phone Numbe .3�- 7�'�- ��<f/ <br /> Owner's Address � �� � � � Q I�� �(�. p�er Phone Number <br /> Fee Simple Titleholder Name ���"/C Owner Phone Number -� <br /> Fee Simple Titleholder Address ���� <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTtCE) <br /> WORK PROPOSED � NEW CoNSTR 8 ADD/ALT C� SIGN Q [� DEMOLISH <br /> INSTALL REPAtR <br /> IPROPOSED USE 'f� SFR Q COMM �� OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK !/�� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �,�UILDING $ <br /> � / VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �u//�G� �� <br /> -�� ( r <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLO�ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE _ REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# -� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r <br /> OTHER COMPANY <br /> SIGNATURE 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 Pians w/Silt Fence installed, <br /> Sanitary Facilities�1 dumpster;Site Work Permit for subdivisfonsAarge 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)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consVuction. <br /> ,��.��irr,�,r���,.���.���.� <br /> il lli 1 <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 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 Applicatlon 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 />