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e��-�eaoozo City of Zephyrhills Permit Application Fax-873-780-0021 <br /> Building Department <br /> � �Date Received phone Contad for Permitting <br /> Owners Name f.L Owner Phone Number ����� / <br /> Ovmers Address � �Xt� �.JYI Owner Phone Number <br /> Fee Simple Titieholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � S LOT# � <br /> SUBDIVISION � PARCEL IDIF <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED B NEW CONS7R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Q 1— <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING � VALUATIONOFTOTALCONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ .�^ �� <br /> � � v� <br /> �MECHANICAL $� B , p 'L` VALUATION OF MECHANICAL INSTALLATION <br /> �f� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHEDFLOORELEVATIONS FLOODZONEAREA QYES NO <br /> BUILDER COMPANY <br /> SIONATURE REGI5TERm Y/ N FEECURREN Y/N <br /> Address License# <br /> FI FC7RICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y(N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISiEREO Y/ N FEE CURREN Y/N <br /> Address License� <br /> fl7ECHANIC � ��/y,�� COMPANY �Y��( Y�'�UT'e(J <br /> SIGNATURE� �LYi�� REGISTERED Y/ N FEECURREN Y/N <br /> Address � � � - L(�'�/'L License# l� �� � <br /> 07HER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllltllltlttllllllllllllllllll � lll <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for newconstruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Build'mg Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new conshudion. <br /> Minimum ten(10)working days after submittal date. Required onsRe,Construdion Plans,Stomiwater Plans wl Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster.Site Work PermR for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)se�s of Engineered Plans. <br /> ""PROPERIY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out applicadon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AfC upgrades over$T600) <br /> " Agent(for the contrador)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT7ING (Front of Application Onty) <br /> Reroofs if shingles Sev�srs Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />