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v�o-iov-UULU <br /> City of Zephyrhills Permit Application <br /> Building Department Fax-813-780-0021 <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name Q�'' � <br /> Owner Phone Number � � � <br /> Owne►'s Address ' <br /> Owner Phone Number <br /> Fee Simple Tkleholder Name -------_. <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> SUBDIVISION <br /> LOT# � <br /> PARCEL ID# <br /> 1NORK PROPOSED e (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEw CON57R 8 ADD/ALT <br /> INSTALL REPAIR � SIGN [� O DEMOLISH <br /> PROPOSED USE � SFR <br /> TYPE OF CONSTRUCTION � COMM [� OTHER <br /> C] BLOCK L] FRAME [� STEEL � <br /> DESCRIPTION OF WpRK <br /> � '� � <br /> BUILDING SIZE <br /> SQ FOOTAGE HEIGHT C� <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL a AMP SERVICE � <br /> `� PROGRESS ENERGY O <br /> W.R.E.C. <br /> [�PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [�]GAS [� ROOFING Q SPECIALTY <br /> FINISHED FLOOR ELEVATIONS C� OTHER <br /> FLOOD ZONE AREA �YES NO <br /> ----_ <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� <br /> Address Y/N <br /> License# <br /> E�.ECTRICIAN <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address �� n q <br /> License# a v <br /> PLUMBER <br /> 31GNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� <br /> Address 1'/N <br /> License# � <br /> MECHANICAL <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> License# <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> License# <br /> RESIDENTIAL Attach(2)Plot plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pe�it for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mi�imum ten(10)worklny days after submittal date. Required onslte,Conshuction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Perm(t for a�l new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""'PROPERTY SURVEY requtred for all NEW constructton. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over:2500,a Notice of Commencement la required. (A/C upgrades over:7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appecation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Drtveways-Not over Counter if on public roadways..needs ROW <br />