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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 8 -- a <br /> Owner's Name p {Q Owner-Phone Number ��O <br /> Owner's Address l i Owner Phone Number <br /> Owner Phone Number �— <br /> JOB ADDRESS f Y[ `ft LOT# <br /> SUBDIVISION r �. PARCEL ID# a _ p D C) �} <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW.CONSTR ADD/ALT 0 SIGN. DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q' SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION " ` BLOCK 0 "FRAME 0 STEEL 0. <br /> DESCRIPTION OF WORK jfaikl <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ / VALUATION OF TOTAL.CONSTRUCTION <br /> =ELECTRICAL $ AMP.SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> 0.MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> �$ <br /> =GAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY f 1 F <br /> SIGNATURE REGISTERED Y/ NJ FEE CURREN LILN J �— <br /> Address s Z License# Z -SS 1 T(0,S <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 F License* <br /> MECHANICAL COMPANY <br /> SIGNATURE'' REGISTERED '•Y/ N FEE CURREN LKLN <br /> Address License#F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2);sets of Buitding•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 subdivisionsAarge 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),workin6 days,after submittaldate: 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)setsof 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(PlottSurvey/Footage) ' <br /> Driveways-Not over Counter if on'public`roadways..needs,ROW <br />