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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-00211 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> 717rTTrr.... J.L <br /> Owner's Name om e Number <br /> m 7C'r" Owner.Phon 14 <br /> Owner's Address Owner Phone Number <br /> 1-7 <br /> L-Q Owner Phone Number <br /> 1(0 JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID#[0 (0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL r& REPAIR <br /> PROPOSED USE Q SFR O COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK V Le -C C)it 1A —4--LaL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 1 <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL r- 'I VALUATION OF MECHANICAL INSTALLATION rn <br /> GAS 5z— ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I —Y t'N FEE CURREN 'PY I N <br /> Address License# 1 19 toe <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address I License# F- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I ,Y N-J <br /> Address License# F <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 wt 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: --11,--- -- -------- ------- ...... <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 />