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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name G/(� <br /> 6 h Owner Phone Number. `/!-% �/ <br /> /57 <br /> Owner's Address (D f1 Sp2 Owner Phone Number <br /> `'Iti r /115 Owner Phone Number <br /> JOB ADDRESS r S� ✓' LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e „ .NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 - SFR Q COMM =. OTHER. <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK e r 1 r 2 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $� `- AMP SERVICE 0 - DUKE ENERGY 0 W.R.E.C. <br /> C/lJ e <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL:INSTALLATION <br /> =GAS = ROOFING 0. SPECIALTY = OTHER <br /> FINISHED-FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I •Y/ N , FEE CURREN Y/N <br /> Address" Lice e# <br /> ELECTRICIAN �y lill f=f /S©d�J COMPANY . <br /> SIGNATURE JJ REGISTERED /'N FEE.CURRE� Y/N , <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License#. <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 'Y/`N FEE CURREN <br /> Address License#.�- <br /> OTHER iCOMPANY <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 new construction, <br /> Minimum ten(10)working days after submittal date.'Required onsite;Construction-Plans,Stormwater Plans W1 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: <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public,roadways..needs ROW :, <br />