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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 3ts -- <br /> Owner's Name L Owner Phone Number <br /> Owner's Address T Owner Phone Number <br /> P L Owner Phone Number <br /> JOB ADDRESS toSSI W -rL ET N LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR R <br /> ADD/ALT [� SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q /� <br /> DESCRIPTION OF WORK Z (}' r- N P14 1l G 1' rib <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING $ 3. 2-73 U6- VALUATION OF TOTAL CONSTRUCTION <br /> • <br /> ELECTRICAL $ . AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ r p <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY V (, IQ "faI� <br /> SIGNATURE REGISTERED / N__J FEE CURREN --21\/N <br /> Address License# <br /> // . V <br /> ELECTRICIAN lCk ANY P <br /> SIGNATURE REGISTERED /®/ N FEE CURREN /N <br /> Address a License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 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 /> 14 <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;Attomey:(fdr the.&rOer),yvould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER.PERMITTING" (8bpy o coritracf.'required) <br /> Reroofs if shingles :Sewers :,;,.':.::Service Upgrad@s A/C;`: Fences(Plot/Survey/Footage) ' <br /> Driveways-Not over Counter if-on pf1b1i_c'i a&iays..needs ROW <br />