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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> & I -Phone Contact for Permitting <br /> r=rM.1-1111,-K W.............. ...... rr 7 7 <br /> Owner's Name 01 Owner Phone Number <br /> Owner's Address Z 7 Owner Phone Number <br /> Owner Phone Number F_ <br /> r <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> PROPOSED USE INSTALL REPAIR <br /> = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK I AbL /gcj+, <br /> BUILDING SIZE SO FOOTAGEF—= HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> �AN�ICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> F7GAS 0 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> i i 1 1 N 1 J m 2 2 i 1 J ff i i v I i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N_J <br /> Address License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L�_N <br /> Address License# <br /> MECHANICAL COMPANY 670 <br /> SIGNATURE REGISTERED L9 N FEE CURREN <br /> Address 11 AZ, License# <br /> �J <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 subdivisioni/farge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit fornew construction. <br /> Minimum ten(16)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&.T 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 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter 4'Dn'- 6151ic ibadways.:6`666 ROW <br />