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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> 4 � <br /> Date Received Phone Contact for Permitting. - <br /> Owner's Name J ` Owner Phone Number <br /> Owns,r's.Address 3 Owner.Phone Number . <br /> Owner Phone Number <br /> JOB ADDRESS V& /0 51 19Ll LOT# ( 9 <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM.PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL e REPAIR <br /> PROPOSED USE' 0 SFR 0 COMM = OTHER <br /> TYPE OPCONSTRUCTION = BLOCK 0 FRAME STEEL �. <br /> -DESCRIPTION OF WORK '� ° l(�fl'/ c U/( o, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =kLECTRICAL � - AMP SERVICE = DUKE ENERGY 'Q W R-.E;C. <br /> $ <br /> =PL•UMBING $ v <br /> 0 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA - =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE . REGISTERED Y t N'. ..`FEE CURREP Y"/.N <br /> Address License# <br /> ELECTRICIAN COMPANY 1c V \ <br /> SIGNATURE 1 REGISTERED Y/ N FEE Y/N <br /> Address II License# <br /> VWl- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREI, <br /> Address License•# [_ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED' Y/:N FEE CURREIv Yf/.N <br /> Address License.# <br /> OTHER COMPANY.,. <br /> B SIGNATURE REGISTERED Y/.:N FEE.CURREN <br /> Address- License# . <br /> RESIDENTIAL Attach,(2)_Rlot Plans'';:(2):sets•of.Building•Plans;(1.)set of Energy Forms;.R=O-W-Permitfor new construction," <br /> Minimum ten(1"0)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)workingAays 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 /> 14 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 Attomey(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 />