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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 /> 2�-Owner's Name l ' �G�/1' 1 'e��l�� Owner Phone Number f <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS Z (y LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R�- <br /> NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION ,/= BLOCK FRAME 0` , STEEL = <br /> DESCRIPTION OF WOR Vi,� /yl <br /> OG-1,52( 6-16�TL­ <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <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 �l COMPANY <br /> SIGNATURE %vimA"41 REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 7 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 'Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <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 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;ofCommencementis required...(A/C-upgrades over$7500) <br /> Agent(for the contractor)or Power.of Attorney'(fdr'the owner)Woulj(be'someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING „(copy,.pf,00ntract iequired):.- <br /> Reroofs if shingles Sewers"� .•Service,Op,grades,;AlC••�:. .Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />