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i a�aaao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date ReceivecB Phone Contact foc Permitting -- <br /> r <br /> Owner's iVame Owner Phone iNumber <br /> Ovuner's�ddress Owm�r�hone iNumber <br /> �ee Simple Titleholder Rlaone � Ovun�r Phone Mumber <br /> �ee Simple'�itleholder Address <br /> JO�as►DDC3E5S LOT# � <br /> SUBDINISIORI ��4RCEL ID# <br /> (OBTAIMED FROM PROPERTY TAX MOTICE) <br /> FfilOFi6�PROPOSED e NEW CONSTtt 8 ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> I�ROPO��p USE Q SFR Q COMM � OTHER <br /> 'PV�E O�CORISTRUCTIO� Q BLOCK Q FRAME � STEEL � <br /> D�SC@tIP�EOId OF HNORK <br /> �UILDI�G SIZE Sfd FOOTAGE� Bi�IGFOT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FIIVISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> �UILDEP2 CORflP�1PfY <br /> SIGfNATURE REGISTERED Y/ M FEE CURRE� Y/N <br /> �ddress License# <br /> �L.EC�'RICIARI COAfi�A1dV <br /> SIGidATU�tE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUflflBElB COMPAAIY <br /> SIGRI�ITU@2E REGISTERED Y/ N FEE CURRE� Y/(V <br /> �c�dress License# <br /> RlIECH�WICAL COHflPAWY <br /> SIGi��.TllRE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> or�oEa� co��,ar�v <br />' SIGR�t4�T1.D6ZE REGISTERED Y/ IV FEE CURRE� Y/N <br /> License <br /> Ad�ress � <br /> FdfSIDER1TIe1L 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 Pians w/Silt Fence installed, <br /> I Sanitary Facflities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COM1fUiEFtC1AL 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 8�.1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGfd�ERNi@T Attach(2)sets of Engineered Plans. ' <br /> °°"PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> 9f over$2500,a Idotice of Commenceenent(s required. (.4/C upgra�es over$7300) <br /> °° Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same <br /> ONER THE COUP9TER PEE2RAITTIIdG (Front of Application Only) ° <br /> Reroofs if shingles Sewers Service Upgrades A/G Eences(PIoUSurvey/Footage) - ' � <br /> Drideways-Not over Counter if on public roadways..needs ROW <br />