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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> t <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name Owner,Phone Number <br /> Owner's Address Q t/ Owner.Phone Number �— <br /> Owner-Phone Number. <br /> JOB ADDRESS LOT# <br /> SUBDIVISION �— PARCEL ID#- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT StGN. [�. [� DEMOLISH <br /> e INSTALL L REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL 0 <br /> DESCRIPTION OF WORK I� /1O <br /> BUILDING SIZE ^ ISO FOOTAGE HEIGHT <br /> B ILDING .U V�S74_6 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> 7FA� <br /> Q LECTRICAL L_ — AMP.SERVICE = DUKE ENERGY 0 W.-R.E.C. <br /> =PLUMBING $ � <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q . SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE.AREA =YES NO <br /> BUILDER COMPMY <br /> SIGNATURE [-T&Ir, REGISTERED Y/ N FEE CURRER LY/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURRER LXLN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURRER <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 'Y/ N FEE CURRER Y/N <br /> Address License.# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRER <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 subdivisionsiiarge 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 /> Directions: <br /> Fill out application completely. <br /> Owner'&Contractor sign back-of application,notarized <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 owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ,(copy of contract required) ' ` =,.-.�, -= - _.. •.v <br /> » . <br /> Reroofs if shingles Sewers Service Upgrades.,A7C,.... . Fences(Plot/Survey/Footage) , <br /> Driveways-Not over Counterif ori''public roadways..needs ROW <br /> . ...�•\ t r its .. a < .t .. .• ..i r ... �ik',•�S <br />