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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 /> EMOX0111111=1........ .........fTTL=.......... <br /> Owner's Name Owner.Phone Number' <br /> Owners Address (fr/w 1q.111�L- Owner.Phone Number <br /> Owner Phone Number. <br /> JOB ADDRESS' LOT# <br /> SUBDIVISION PARCELID41 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL Q. <br /> DESCRIPTION OF WORK N14 <br /> BUILDING SIZE SCI FOOTAGE= HEIGHT <br /> I I I I I I I 1 1 2 1 <br /> /MBUILDING �L_ J <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 DUKE ENERGY W.R..E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER FEE CURREN COMPANY �00 <br /> SIGNATURE REGISTERED Y/ N Address 1 License# Y6P <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_j <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN N_LJ <br /> Address License#' F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED ''Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED y _J FEE CURREN Y N_J <br /> Address License#"I <br /> I <br /> RESIDENTIAL Attach(2)Plot Plans;.(2)sets of Building Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwaler Plans w/Slit 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 /> D'4='o'nss:! <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..nedds�]ROW <br />