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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 'S-a) - 919 <br /> ......... rrrrrrr .... .... ........m ze <br /> Owner's Name Owner Phone Nu ber <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number F_ <br /> JOB ADDRESS LJ 0 b LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR COMM E:K OTHER <br /> AiAt-dz9A 1rk1*,1 <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK 19 V4,V61 V. aeaj_ <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> 1 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> i)6MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i I v i I I i 2 i i I v i I i N i i M M i i i i i i i I i i i i i i i v I i i i i I i i i i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN_ <br /> Address License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> MECHANICAL 1127J COMPANY <br /> SIGNATURE REGISTERED N• FEE CURREN I CY)/N <br /> Address t yo License# I CACO <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F7 <br /> H!H 1 HII HHHHHH, HHHHHHHH- HHHH H+ <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&I 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 /> 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) <br /> Reroofs if shingles Sewers, _S.e.rvice,Upgrades.A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public i,oadways..needs ROW <br />