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sis-�ao-oozo City of Zephyrhills Permit Application Fax-�313780-0021 <br /> Building Department <br /> � Date Received <br /> Phone Contact for Pertnittin <br /> �rr rrr- -- <br /> Owners Name �� � Owner Phone Number � <br /> Owners Address l. \�. Owner Phane Number �� <br /> Fee Simple Titleholder Name � Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS � �� LOT# [� <br /> SUBDIVISION PARCEL ID# ;J! - •� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL <br /> DESCRIPTON OF WORK �`C�V Q� ��`l������ . � <br /> BUILDING SIZE SQ FOOTAGE� . HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ �� C� VALUATION OF MECHANICAL INSTALLATION •�'1_ / � �jQ� � <br /> �''� l <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��— I B <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> _,. �RAECHANICAL COMPANY S �� m,�+�fa�✓�j/7{q �-I�� <br /> ��-X SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ���Syb�� <br /> OTHER � COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sel of Energy Fortns;R-O-W Permil for new construction, <br /> Minimum ten(10)woricing days afler submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWdion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit 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 /> Dvections.• <br /> Fill out application completety. <br /> Owner&ConVactor sign back of applicatio�,notarized <br /> If over EZ500,a Notice of Commencement is required. (A/C upgrades over=7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nolarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />