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a�sasaoozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> � , Building Department <br /> Date Received phone Contact for Pertnitting � — <br /> Owner's Name / I Owner Phone Number � <br /> Owners Address � � I Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � I � I LOT# � <br /> SUBDIVISION PAI CEL ID# O � � —� O � <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED New coNSrR e AD�/ALT 0 SIGN Q Q DEMOLISH <br /> e INSTALL REIPAIR <br /> PROPOSED USE Q SFR Q Ct�MM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRqME 0 STEEL Q <br /> DESCRIPTION OF WORK �I ' � � -P <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ �p�G �p VALUAIIONOFTOTALCONSTRUCTION <br /> g O <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �'� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALlATION � ��� <br /> QGAS Q ROOFING Q S IECIALIY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ,I, 7 <br /> BUILDER � (� � \ COMPANY A 'CS � GJ � ✓ <br /> SIGNATURE � / � ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address p�6� ` w Yu / License# � G o 9 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> 5 Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address I License# <br /> 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 III 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(�)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittal da e. Required onsite,Construciion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facililies&1 dumpster;Site Work Permi for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion. <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.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> 1--�' <br /> Directions:• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized Ietter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />