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s��-�8aoo2o City of Zephyrhills Permit Application Fax-81�780-0021 <br /> Building Department <br /> Date Received ��(J- � Phone Contact for Permittin ��� Z�`� — 7���✓ <br /> Owners Name ' � Owner Phone Number �' � <br /> Owners Address � /'�. Owner Phone Number <br /> I Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 � LOT# � <br /> SUBDIVISION r , � PARCEL IDl� � � � �O OO ~Y-= - <br /> (OBTAINED FROM PROPERTY TAX N0T10E) <br /> WORK PROPOSED NEW CoNSrR ADD/ALT Q SIGN Q Q DEMOLISH <br /> e INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> � � <br /> I DESCRIPTION OF W092K <br /> BUILDING SIZE' t� O SQ FOOTAGE �OO HEIGHT ` ` � <br /> QBUILDING $ 2 .F�,n"� VALUATION OF TOTAL CONSTRUCTION � �S��` <br /> J cJ v v � <br /> QELECTRICAL $ AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � AJa�� <br /> /+/U � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /-�� �in. `�j'�C� <br /> l ���"` <br /> QGAS �� ROOFING Q SPECIALTY Q OTHER C��Q�I(/�" <br /> � � ` -� �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES � �J, <br /> F n���., <br /> �'/ <br /> BUILDER � ��-� COMPANY .j • <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 /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Itlllllllllllllll. 11llllllllllllllllllllllllllllllltllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large 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 /> 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 Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plar�.s. <br /> ""PROPERTY SURVEY required for all NEW construction. , <br /> . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: � <br /> Fitl,out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a(dotice of Commencement is required. (A!C upgrades over�7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (Front of Application Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />