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a��-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building D�partment <br /> Date Received <br /> �7-� <br /> Phone Contact for Permftting - <br /> Owner's Name (�(/I Y S Owner Phone Number <br /> Owner's Address I O � `j�, I �IlAwner Phone Number <br /> Fee Simple Titleholder Name O � Owner Phone Number <br /> I <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS U/ '"� �I I I V LOT# � <br /> SUBDIVISION PARCEL ID# <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK V I�CC�J T�S <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION OF T�TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �/ /�/ / <br /> � « <br /> 1ECHANICAL $ � VALUATION OF M CHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO / �� <br /> l <br /> BUILDER COMPAN <br /> SIGNATURE REGISTER Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPAN <br /> SIGNATURE REGISTERE Y/ N FEE CIJRRE� Y/N <br /> Address License# <br /> PLUMBER COMPAN <br /> SIGNATURE REGISTERE Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPAN W � � 1 e V �C��C 5 P�V I <br /> SIGNATURE R Y/ N FEE CURRE� Y/N <br /> Address 15 T' I la s e�C.���U�U License�i ��r y q N� <br /> I <br /> OTHER COMPAN <br /> SIGNATURE REGISTERE Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Illllllllllllllllllllllltlllllllllll IIIIIIIIIIIIIIIIIIIIIIItllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Ener�y Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required�onsite,Conslruction Plans,Stormwater Plans w/Sil[Fence instalied, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa(ety P�ge;(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/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for ail new �rojects.All commercial requirements must meet compliance <br /> 51GN PERMIT Attach(2)sets of Engineered Plans. <br /> - '•"PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades o er 57500) <br /> , " Agent(for the contractor)or Power of Attomey(for the owner)would be some ne wiih notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroo(s if shingles Sewers Service Upgrades A/C Fences(PIoUS rvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />