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' 813-780-0020 City of Zephyrhills Permit Application ra <br /> Building Department <br /> Date Received Phone Contact(for Permitting <br /> Owner's Names Owner Phone Number <br /> Owner's Address7'U f.A wff Owner Phone Number !o-Q`P <br /> Owner Phone Number <br /> .JOB ADDRESS L N(F Off^� LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW COLSTR 8 ADDLT REPAIR SIGN [� DEMOLISH <br /> INSPROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 1 (Nl Lt <br /> BUILDING SIZE I SQ FOOTAGE[7777:] HEIGHT <br /> [BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ ©„—� AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> 0 !91 <br /> OPLUMBING � I <br /> =MECHANICAL 1$ 1 <br /> VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE - REGISTERED Y/ N FEE CURREN Y J N <br /> Address License# <br /> ELECTRICIAN f °C COMPANY <br /> SIGNATURE �� r REGISTERED Y/ N FEE CURREN Y I N <br /> Address 1�w 74Tf ie f ze /L:lb .41 V License# <br /> PLUMBER <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> n SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 /> 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 /> 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(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />