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s�3-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittln __ <br /> Owner's Name Owner Phone Number <br /> Owner's Address � � v'� �'"C (,it�(� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J �� �� �(�� �� '�,'� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEw CONSTR 8 ADD/ALT � SIGN Q O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �vt �C �?�.� �� � (57Yc <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> OBUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ ���) r�� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALIATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY �/��'�j� 4 S � C�� '� C._. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� l' License# ��C—dC.>(���� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 FoRns;R-O-W Permit for new construction, <br /> Minimum ten(10)wo�lcing days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadllUes&1 dumpster;Site Work Permit for subdivisfons/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submlttal 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 appfication completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over i2500,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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter it on public roadways..needs ROW <br />