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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 -- <br /> Owner's Name / h /` Owner.Phone Number <br /> Owner's.Address Z l3v Owner.Phone Number <br /> /v ®y/ O / Owner Phone Number. <br /> JOB ADDRESS J LOT# <br /> SUBDIVISION PARCEL ID# y�(-;U-. o P p— a` pD" DDT P <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL 8 , REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q Q�BLOCK <br /> � Q FRAME 0 nSTEEL <br /> DESCRIPTION OF WORK w �`—UQ� M7/ <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> BUILDING $ ©d VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ N-1 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �`L ,� <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address. License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License-# <br /> OTHER COMPANYv� <br /> SIGNATURE REGISTERED I Y/ N _J FEE CURREN Y/N <br /> Address �� �� (�/67 License# �e <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 subdivisionstlarge 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)-workingA.ays 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 Service Upgrades A/C Fences(Plot/Survey/Footage) ' <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />