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813-780-0020 City of Zephyrhills Permit Application Fax-813-7.80-0021 <br /> Building Department <br /> Date Received :] Phone Contact for Permitting F( 7 jot) <br /> ......... .....rrrrrrrrI....... <br /> Owners Name Owner Phone Number ? to 24 <br /> Owner's Address Owner Phone Number F <br /> Owner Phone Number <br /> JOB ADDRESS Cal LOT# <br /> SUBDIVISION PARCEL ID#1 0.2 .74 21 011A ooxoa co <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION QAA BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK A& <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> i v 2 v v v i i <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL r AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> EXMECHANICAL N�47;X I , VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS —7] FLOOD ZONE AREA =YES NO <br /> BUILDER. COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY L_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_X1 N J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY LN <br /> Address License# <br /> 0or 0 <br /> MECHANICAL 19 COMPANY <br /> SIGNATURE REGISTERED K-WI N I FEE CURREN I C_W1 N <br /> Address (25 A&tol!J FC) License# Irr"ox—.f <br /> OTHER COMPANY L_ I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# I <br /> f++ '111111111 HHHHHHH 211111111f <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 wl Silt Fence installed, <br /> Sanitary.Facilltles4 1 dumpster,Site'a 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 /> Dire <br /> ctions: <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 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 />