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�,�-���-UU1U City of Zephyrhills Permit Application Fax-e�a-�so-oo2� <br /> Building Department <br /> Date Received p one Contact for Permittln _. <br /> Owner's I�ame w'E� s�� Obrner Phone IVumber <br /> Ouener's Address Obmer Phone Idumber <br /> Fee Simple Titleholder INam Oxvner Phone Mumber <br /> � <br /> Fee Simple Titleholder Address <br /> JOB 11DDRESS LOT 1t � <br /> �SUBQINISIOId--_ ----. - - -=- - - - - - �� �AlPtCEL.ID# - _ -- ° <br /> I_ (OBTAINED FROM PROPERTY TdX NOTICE) � - -- - -- ._ _ <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR � <br /> �ROPOSED USE , Q SFR Q COMM � OTHER <br /> TXPE OF CONSTRUCTIOId Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDIMG SIZE SQ FOOTA C� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> , <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R,E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL IMSTALIATION <br /> QGAS Q ROOFING , Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �1�� <br /> BUILDER COMP/ANY <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIG(dATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPAMY <br />, SIGIdATURE REGISTERED. Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAPIICAL COMPANY <br /> � SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lice e# <br /> OTHER - COMPANY <br /> SIGIdATURE REGISTERED Y/ FEE CURRE� /N <br /> Address License# <br /> RESI�ENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMiMERCIAL Attach(3)complete sets of Buildtng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mintmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Fermlt for all new projects.All commercial requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill aut application completely. <br /> Owner&Contractor sign back of application,notarfzed <br /> IF over 52500,a Notice of Commencement Is required. (IUC upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone wlth notarized letter from owner authorizing same <br /> O!/ER THE COUNTER PERMI7TING (Front of Application Only) _„ <br /> Reroois if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />