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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 Z4,— G <br /> s <br /> Owner's Name //7i /l Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> sqsols <br /> / r <br /> JOB ADDRESS /I /!tea �// LOT# <br /> � I <br /> SUBDIVISION cw PARCEL ID# �- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL 0 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F SQ FOOTAGE / O d HEIGHT <br /> =BUILDING $ G(/ C/o VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUR I, _ / I <br /> Address License#16 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address / License# c /(� <br /> 0 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED / N FEE CURREI, <br /> Address /7 License# <br /> fff <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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power, f,Attorney"(forthe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING- `: (copy,of contract required)' <br /> ' "Service U rade's A%C '-_` Ferices(Plot/Survey/Footage) <br /> Reroofs if shingles Sewers.. y_ pg.,. - <br /> Driveways-Not over Counter if on public roadways..needs ROW. <br />