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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receive Phone Contact for Permitting................ . ............... <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number F <br /> Owner Phone Number <br /> JOB ADDRESS LOT <br /> SUBDIVISION PARCEL ID# a fp -'Z/ 0/ 7 0 0 0 0 0 o 0'T YO <br /> C/ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R, ADD/ALT SIGN 0 DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE 0 SFR COMM OTHER J.,VI—IX C, <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <A Y4'>7-el AA:ix� , <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> n <br /> =PLUMBING $ <br /> - / <br /> W—IMECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> r-10 73 <br /> =GAS Q ROOFING [--1 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS —7] FLOOD ZONE AREA =YES NO <br /> BUILDER <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN LZ <br /> L N_J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN ffil N <br /> Address S01 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ IN FEE CURREN L_YLN J <br /> Address License# <br /> 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 /> ........... ....... <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 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 />