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, . s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received � �� <br /> Phone ConWCt for Permitting <br /> r,_�_�_r -- <br /> Owners Name Owner Phone Number <br /> Owners Address ,�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `�` `M S LOT# � <br /> SUBDIVISION PARCEL IDq �`� Zl0 I-�O�O. � IOrJ- O�� <br /> (OBTAINED FROM PROPERTV TA7(NOTICE) <br /> WORK PROPOSED B NEW CONSTR� � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK 1� LQ�t� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ �S D `� AMP SERVICE 0 PROGRESS ENERGY ,� W.R.E.C. <br /> i"` <br /> �PLUMBING $ �) <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /H / 9 <br /> � <br /> / <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN i�. COMPANY �C.Z'-�-+- ��"�- � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# �C'� �� � <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 WRRE� Y/N <br /> Address License# <br /> 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I I 1 1 1 1 t 1 I I 1 1 1 1 1 1 1 I I I 1 1 1 1 I 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days afler submittal date. Required o�site,Construction P�ans,Stormwater Plans wf Silt Fence installed, <br /> Sanitary Facilities&t dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.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 At[ach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> t• <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contraclor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over E7500) <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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />