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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> d <br /> Date Received Phone Contact for Permitting <br /> Owner's Name <br /> e Number <br /> Owner's Address to Owner Phone Number <br /> -Jr Owner Phone Number <br /> JOB ADDRESS Rx-�- V-iln P, cJ LOT# <br /> 0; <br /> SUBDIVISION PARCEL IDIF <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> a INSTALL e REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME A STEEL QF <br /> IF 409 r <br /> DESCRIPTION OF WORK 9A('P 'S Need &IL (01-7 21* <br /> BUILDING SIZE SQ FOOTAGE[________] HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ AMP SERVICE DUKE ENERGY a W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i i i i i i N s 2 6 i I i 2 1 i M I M i I, A"H4 1.1.,1 1 1 i 1"11111 1 1 Hi I I v I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN [ Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY �e'+/ Z_ <br /> SIGNATURE Z REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# 1300 312 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N-i FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> HHHHi HHHHHHHi I 1-1-141 114+1­14HIH HHHH 2111 <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 installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)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 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 /> ifisaiiiii ........ .......... <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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />