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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 4 Name e( C a Owner Phone Number <br /> Owner's Address ( r Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS /Z'c5 LOT# <br /> SUBDIVISION / l�r/G� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R ADD/ALT 0 SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL _ <br /> DESCRIPTION OF WORK t <br /> Lol A, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DO Q <br /> ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY 0 W.R.E.C. <br /> PLUMBING Is � 7/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l � <br /> ���� eA <br /> =GAS Q ROOFING 0 SPECIALTY 0 OTHER o / O <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY V Zv �.S <br /> SIGNATURE REGISTERED Y/ N-_ FEE CURREN Y/N <br /> Address Z. Q, Q License# l <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 7� REGISTERED Y/ N FEE CURREN <br /> Address l �7 ` i L � License# v <br /> PLUMBER ✓���� COMPANY O/ <br /> SIGNATURE REGISTERED Y/ N FEE CUR Y/N <br /> Address c U License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I 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 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. (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 />