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__ � <br /> s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> �� .,. <br /> Date Received <br /> Phone Contact for Permitting -- <br /> Owner's Plame � �cv� Owner Phone Number �\3-0�1 'a 3 <br /> Ouvner's Address ��L`� � ��.t Q Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��J`"1 ! 1��11�1 ��V O1 !� � �� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED.FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED B NEW CoNSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �yt���� <br /> BUILDING 51ZE SQ FOOTAGE� HEIGHT <br /> BUILDING $ f VALUATION OF TOTAL CONSTRUCTION <br /> �/ <br /> ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �i/� <br /> ( <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br />. FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNAYURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> EI.ECTRICIAN 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 /> MECHAMICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address License# <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 w/Silt Fence installed, <br /> I Sanitary Facllities&1 dumpster;Site Work Permit for subdivisionsAarge projects - <br /> CUMMERCIAL Attach(3)complete sets of Buiidfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <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 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 /> Directions: <br /> Fill out appiication completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over�2500,a Notice of Commencement is requlred. (A/C upgrades over;7500) <br /> '• Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />