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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 Owner Phone Number <br /> Owner's Address F,5— rA4�� /022� 1 Owner Phone Number <br /> Owner Phone Number <br /> F <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# ;7-0 0 0 0 010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM u OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING 1$ VALUATION OF TOTAL.CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING L$ <br /> F-tt[M �� � <br /> ECHANICALVALUATION OF MECHANICAL INSTALLATION <br /> "f� <br /> =GAS = ' ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY L <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY 1"00 le <br /> SIGNATURE REGISTERED P N_ I FEE CURREN L.J2QLN_J <br /> Address 11R236? &,5 AY41!!Z License# <br /> OF REGISTERED =1Y N FEE CURREN L <br /> OTHER COMPANY <br /> SIGNATURE _YIN J <br /> Address License# <br /> 1HH! I !HHHHH <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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,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 PERMIT—TING-> (copy of.contract required) <br /> Reroofs if shingles Sewers Service Upgrades-A/6 F6nces(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public.roadways..needs-ROW <br />