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si3-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ° Building Department <br /> Date Received _ <br /> �— Phone Contact for Permittin __ <br /> Owner's Name /v� �C 1 O e y` � y Owner Phone Number �� �p y p � <br /> Owner's Address �p 3 2 � ��7� 5� Owner Phone Number � <br /> Fee Simple Titleholder Name —� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS CD Z S� ZO T� S� LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> VMORK PROPOSED B NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> IPROPOSED USE O SFR � COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL O <br /> DESCRIPTION OF WORK G' � � /4 �G l'�E O O jC <br /> BUILDING SIZE �— � SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> L[��LECTRICAL $ 2�fy�,,�`/ AMP SERVICE / rU (� PROG "�� -VK.�R,E.C. <br /> Gc��� <br /> �PLUMBING $ ' <br /> /'� `,� <br /> OMECHANICAL $ VALUATION OF MECHANICAL I TALLATION �/' � � ,�( <br /> � �� � �✓ <br /> ( <br /> QGAS Q ROOFING Q SPECIALTY 0 O HER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CUR <br /> ___..,,..._... <br /> Address License# �— <br /> EI.ECTRICIAN n COMPANY �4�l/ �� V� �' � <br /> SIGNATURE �'�� _ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 1� 0 D � � 1 �.�2 r 3��y� <br /> License# �L DOG 2. y rf� <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# <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 Fortns;R-O-W Permit for new consVuction, <br /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Wo�lc Permit for subdivislonsAarge 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 construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over t2500,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 />