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lf1J-/tlU-UU2U City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ,Date R�ceived <br /> Phone Contact for Permittin <br /> Owners Name � �` �. , �l <br /> Owner Phone Number 13 45 - a. <br /> Owner's Address ���� �- <br /> Owner Phone Number <br /> Fee Simple Tftleholder Name � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� � � � � <br /> LOT A� <br /> SUBDIVISION PARCEL ID# <br /> 1NORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEw CONSTR ADD/AlT � SIGN O 0 DEMOLISH <br /> ` INSTALI � REPAIR <br /> PROPOSED USE SFR [� COMM [� OTHER <br /> TYPE OF CONSTRUCTION BLOCK O FRAME � STEEL � <br /> pESCRIPTION OF WORK � /� <br /> BUILDING SIZE SQ FOOTAGE <br /> HEIGHT <br /> �BUILDING a <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL y AMP SERVICE [� PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ '—" <br /> �MECHANICAL a��� w VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY <br /> [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# � <br /> MECNANICAL COMPANY i���� �� ��s 1'1� <br /> SIGNATURE <br /> REGISTERED N FEE CURRE� Y/N <br /> Address �� /u ��'Q�� � , � <br /> License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N <br /> FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)seis of Building Plans;(1)set of Energy Fom►s;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permft for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of 8uildfng 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&1 dumpster.Site Work Perm(t 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:2500,a Notice of Commencement Is required. (A/C 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 PERMIITING (Front of Appiication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counterif on public roadways..needs ROW <br />