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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recetv'b'd T17TTr Phone Contact for Permitting <br /> _.,, .,L.LL' I............. ........ I I......... ......... ... <br /> Owner's Name I Owner Phone Number <br /> Owner's AddressF���Y— Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION J-6 S/PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> e INSTALL EJ REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER F <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK W14 W6- 0-� A It/ I &!ql <br /> BUILDING SIZE 'SO FOOTAGE= HEIGHT C� <br /> .... ........ <br /> t2cull-DING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL r, AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ 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 LILN_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURREN LXLN J <br /> Address 7 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L_Z1 N J FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED L)2�N FEE CURREN <br /> Address 05-,02-- License <br /> HH!Hsa ........... <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 /> 1 1 IN 1 1 w 11 1 <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 Fences(Plot/Survey/Footage) <br /> blic-roadways-need's ROW <br /> Driveways-Not over Counter if 6d pu <br />