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I e�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-00� <br />� Building Department � <br /> Date Received Phone Contact for Permitting -- � <br /> � <br /> Ip � / � <br /> Owner's Name � �6 ' �• - Owner Phone Number � � — p — o�-( <br /> ., <br /> Owner's Address �7 / , � Owner Phone Number � °/ T J� D J <br /> Fee Simple Titleholder Name Owner Phone Number d l�"��'��'��� <br /> Fee Simple T(tleholder Address <br /> JOB ADDRESS [ o� �E:I �� G� f1 LOT# <br /> � <br /> SUBDIVISION PARCEL D# <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER 0� �.� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> 1 i �' ! <br /> DESCRIPTION OF WORK �-- / ; <br /> BUILDIPIG SIZE SQ FOOTAGEQ] HEIGHT � <br /> QBUILDING $ D� VALUATION F TOTAL CONSTRUCT16N <br /> QELECTRICAL $ AMP SERVIC � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> o �s�� � <br /> MECHANICAL $ VALUATION F MECHANICAL INSTALLATION �( <br /> 1 <br /> QGAS Q ROOFING Q SPECIAL�Y � OTHER � <br /> FINISHED FLOOR ELEVA710NS FLOOD ZI NE AREA QYES NO <br /> � <br /> BUILDER M�ANY <br /> SIGNATURE ��GI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAM CO PANY <br /> SIGMATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUAflBER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# —1 <br /> MECHANICAL � CO PANY <br /> SIGNATURE REGI TERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> OTHER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8�1 dumpster;Site Work Permit for su¢divisionsAarge projects <br /> CO�IIIHAERCIAL Attach(3)complete sets of Buiiding 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. Re�uired 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 /> SIGN PERMIT Attach(2)sets of Engineered Plans: ' ' <br /> •'"'PROPERTY SURVEY required for all NEW construct on. <br /> Directions: � <br /> Fill out applica6on completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement Is required. (AIC upgra es over�7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences( IoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />