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. ais-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received � <br /> f S Pho Contact for Permitting - __ <br /> �-�-�-�-�-�-�� -- - -- -�-rrrr <br /> Owner's Name �y L � Owner Phone Number •� L! <br /> Owner's Address f Owner Phone Number � ' <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � � � `L� <br /> JOB ADDRESS Q O LOT# � <br /> SUBDIVISION �Z l�.�7 PARCEL ID# � • `��• <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK � � <br /> BUILDING SIZE SQ FOOTA E� HEIGHT � <br /> 0 BUILDING $ ALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ MP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> MECHANICAL $ pt7 ALUATION OF MECHANICAL INSTALLATION <br /> .� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE Cl1RRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass I License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � COMPANY � � � .Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address c b _ �"'C License# <br /> OTHER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 111111111111111111111111111 IIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building lans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after sub ittal date. Required onsile,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster;Site Wor Permil for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans lus a Lite Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after sub ittal date. Required onsite,Construction Plans,Slormwater Plans w!Silt Fence installed, <br /> Sanitary Facitities 8 1 dumpster Sile Wor Permit for all new projects.All commercial requirements musl meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all EW construction. <br /> . Directions: -� <br /> Fill out application completely <br /> Owner&Contractor sign back of application,nolarized <br /> If over$2500,a Notice of Commencement is required (A/C upgrades over$7500) <br /> � " Agent(for the contractor)or Power of Attorney(for the o ner)would be someone wilh notarized letter from owner authorizing same , <br /> OVER THE COUNTER PERMITTING (Front of Applicat n Only) <br /> Reroofs if shingies Sewers Service Upgrades A/ Fences(PIotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..nee ROW <br />