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� <br /> o is-iou-uucu C;ity ot Zephyrhills Permit Application Fax-813-780-0021 <br /> .. . . <br /> 8uilding Department <br /> Date Received <br /> Phon Contact for Permittin __ <br /> � I <br /> Oevner's Name I Owner Phone Number <br /> Owner's Address p � — I Owner Phone Number <br /> Fee Simple Titleholder Name , Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS • LOT# � <br /> SUBDI!/ISION PARCEL ID# • <br /> � ` - - -" � - - - - - -(OBTAINED EROM PROPERTV TAX NOTICE)-- _' __ _ ___ <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN �] Q DEMOLISH <br /> B INSTALL 8 RE I AIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK ^ Q , FRAME [_] STEEL Q <br /> DESC6tIPTION OF MIORK <br /> BUILDING SIZE SQ FOO AGE�� HEIGHT <br /> QBUILDING $ <br /> LUAT ON OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. <br /> QPLUMBING $ / <br /> � . �j��s .� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �� D �' �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER CIOMPANY <br /> SIGfdATURE �2EGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address I License# <br /> ELECTRICIAN I OMPANY ' <br /> SIGNATURE �REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> PLUMBER IOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I Li nse# <br /> I <br /> OYHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# - <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 submfttal date. IRequired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 81 dumpster;Site Work Pertnit fo subdivislons/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 constructton. <br /> Minimum ten(10)working days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciUties&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 consUuctlon. <br /> Directlons: <br /> Fill out applicatlon completely. � <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 32500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> i <br /> " Agent(for the wntractor)or Power of Attomey(for the owner)would be someone with.notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Servlce Upgrades A/C Fenc s(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />