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ai�-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Depariment <br /> Date Received � Phone Contact for Permitting S= <br /> -�-r <br /> Owners Name � Owner Phone Number "� • <br /> Owners Address / E Owner Phone Number �_� <br /> Fee Simple Titleholder Name ' Owner Phone Number �� <br /> ` 1 �Fee Simple Titleholder Address ' <br /> JOB ADDRESS "f (�� /`� � G� ' LOT# � <br /> SUBDIVISION � PARCELID# l5 ��(0+��^�/��•-�L/�,(J-�Q� ,�J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER — �/C — <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL <br /> DESCRIPTION OF WORK � �Q ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY �� W.R.E.C. <br /> QPLUMBING $ <br /> � �v�tCHANICAL $ /'� VALUATION OF MECHANICAL INSTALLATION � 1 ���� <br /> i� ���/ <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �l.� I �� <br /> � <br /> •°• — _— <br /> BUIIDER COMPANY � <br /> SIGNATURE REGISTERED FEE CU�_ Y/N <br /> � — , ` � <br /> Address . License# r , _ <br /> � - <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> PLUMBER � COMPANY � � <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address � License# � <br /> MECHANICAL COMPANY Clpi� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE Y/N <br /> Address � Ki License# �, <br /> � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� V/N <br /> Address License# �--� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 I 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittat date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanilary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(t)set of Energy Fortns.R-O-W Permit for�ew constructior:. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w!SiH Fence inslalled, <br /> Sanitary Facilities&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 /> Dlrectlons• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> Ii over 52500,a Notice of Commencement fs required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A!C Fences(PIoVSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />