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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting F( <br /> ......... .......... .....rrv"rrrf........ .... ........ ............... 113= <br /> Owner's Name Owner Phone Number 3 <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION- PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER b,,JC__, <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK r .1 \C) C_ <br /> BUILDING SIZE, SQ FOOTAGE= HEIGHT C�� <br /> 11iiiiHow 4-444 11 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = DUKE ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ 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 _ GISTERED UY A FEE CURREN Y/N <br /> 49 <br /> Address License# I cis <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> - 7Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN_j <br /> Address License# <br /> MECHANICAL COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN J <br /> Address F_ License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/.N FEE CURREN LILN__j <br /> Address License# <br /> HHHHi _11-444 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I HHHHHH!-Hf HHHHHHHH <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 d6impster,Site Work Permit for subdivisicns/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'koiicei.�f Corjinriencemenf Iii'646irod.:. (AIC upgrades over$7500) <br /> Agent(for the contractor}.prFpwar,9f Attorney(for,the'owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PEkMJTTINd% ,(6opy oi;c8ntr6ci2i4,equired) <br /> Upgrades-A/C' -Fences(Plot/Surveyffioolage) <br /> Reroofs if shingles- ewers <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />