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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received' Ca Permitting Phone Contact for <br /> ...................... ........ .................... ... . ...... <br /> Owner's Name 0 Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT#' <br /> SUBDIVISION PARCELID#F <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE [:2) SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Ft BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Gdw-e ST�� -6 �cbtte <br /> BUILDING SIZE SO FOOTAGE HEIGHT F V <br /> 11111111114 1-1-4,444114 1,11., <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY Q W.R,E.C. <br /> =PLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 'A KNI -1 <br /> BUILDER MPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURREN <br /> Address License# F- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N-i FEE CURREN <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLLN_J <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 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 /> Minimurn.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 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 /> 4 D=0ns41, � <br /> . <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> N 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 />