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s��-�8aoozo City of Zephyrhills Permit Application Fax-813780-0021 <br /> . !r � Build ng Department <br /> • �- . <br /> Date Received Phone Contact r Permittin — <br /> Owners Name { Owner Phone Number <br /> Owners Address � Own�r Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number rT � <br /> I <br /> Fee Simple Tdleholder Address f <br /> JOB ADDRESS ' cS 3 l � LOT# �� <br /> SUBDIVISION PARCEL ID# — °' O O"`�� <br /> (OBTAINED FROM PROPERTY TAX'N0T10E) <br /> WORK PROPOSED NEW CONSiR ADD/A LT Q SIGN Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COM� Q OTHER d <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAM� Q STEEL Q <br /> DESCRIPTION OF WORK ^ Od ' �s°�C` <br /> I � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATIO�OF TOTAL CONSTRUCTION <br />� QELECTRICAL $ AMP SER�ICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ���� <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION <br /> �� <br /> QGAS � ROOFING Q SPEC ALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br />, '7 d�� � <br /> BUILDER COMPANY <br /> SIGNATURE R�GISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> ELECTRICIAN IOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE WRRE� Y/N <br /> i <br /> Address I License# <br /> PLUMBER IOMPANY <br />' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address License# � <br /> I <br /> MECHANICAL COMPANY <br /> SIGNATURE �EGISTERm Y/ N FEE CURRE� Y/N <br /> Addres's I License# <br /> OTHER COMPANY Oli✓� Ow 'O <br /> SIGNATURE � REGISTERED N FEECURREA Y N <br /> � <br /> Address .Q. . 1 License# ��, � �l���a p !�I <br /> Illlllllllllllllllllllllllllllllillllllllllltlltlltlllllllllllllllll <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 ir�stalled, <br /> Sanitary Facilities&1 dumpster,Sife Work Permit for subdivisions/large projects <br /> COMMERCIAL 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&1 dumpster.Site Work Permit fo all new projects.All commercial requiremerrts must meet compliance � - ---- <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'*PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . I. . . . . . . . . . . . . . . . <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. (A!C upIgrades over S7S00) <br /> •' Agent(for the contractor)or Power of Attorney(for the owner)woultl be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) I <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Ddveways-Not ove�Counter if on public roadways..needs ROW <br />