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O'13-/CU-UULU C;ity ot Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> - Date Received <br /> Phone Contact for Permittin - <br /> Owner's Name E,+�1 Owner Phone Number �13`" 3� ' �� <br /> Owner's Address � ��� �� Owner Phone Number <br /> Fee Simple Titieholder Name Owner Phone Number <br /> Fee Simpie Titleholder Address ' <br /> JOB ADDRESS J � LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1MOR6C PROPOSED e NEW CONSTR B 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 0 STEEL Q <br /> DESCRIPTION OF WORK I��OVL (J��.N1 � �� � <br /> BUILDING SIZE t�O� � SQ FOOTAGE� HEIGHT � <br /> �BUILDING $�•�� W VALUATION OF TOTAL CONSTRUCTION <br /> — 1 � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION °°°�����q /� �/ <br />, � / <br /> I QGAS ROOFING Q SPECIALTY 0 OTHER , <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br />' BUILDER ~•-a` -V� - MrOMPANY ��� � CJUclYV✓1 <br /> SIGNA7URE -- � ,_._--- REGISTERED Y/ N FEE CURRE� Y/N <br /> _�-- <br /> Address �, � License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/M <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />� OTHER COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# -� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FacillUes 8�1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set af 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 FaciUttes&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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of applicallon,notarized <br /> If over 52500,a Notice of Commencement Is required. (AIC upgrades over a7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br />, OVER THE COUNTER PERMITTING (Front of AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� <br />