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•813-780-0020 City of Zephyrhills Permit Application <br /> Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name Owner Phone.Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# 0376— — DZ,6V mCVd Z3( <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE,OF CONSTRUCTION = BLOCK FRAME 0 STEEL = <br /> DESCRIPTION.OF WORK <br /> 49 <br /> BUILDING SIZE SO FOOTAGE HEIGHT. <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. j. <br /> =PLUMBING $ <br /> =MECHANICAL $ Z VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =GAS = ROOFING Q SPECIALTY 0 OTHEk <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN . Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> i <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN - Y/N . <br /> i <br /> Address License# <br /> MECHANICAL r / COMPANY ' �G:1�Lk <br /> SIGNATURE REGISTERED Y/ N' FEE RRE� Y/N <br /> Address Lice se# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y./N <br /> 1 <br /> Address License# <br /> RESIDENTIAL Attach"(2).Plot Plans;(2).sats of.Buiidi66iPlans,(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)'workinig days-after-subriiittai`date. Rbqulred`onslte,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. (AIC.upgrades over$7500) <br /> Agent(for the contractor).or-Power ofAttomey, or 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 Sowers Service Upgrades A/.0 '" Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if`6n,66bl'ic1roadways:.needs-ROW" <br />