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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 Q-22 Q <br /> Owner's Name Owner Phone-Number <br /> Owner's Address &31t7 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# ' - O <br /> .(OBTAINED FROM PROPERTY SAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD%ALT SIGN = _ -DEMOLISH <br /> R <br /> . INSTALL R <br /> REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER' <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL ;Q . <br /> DESCRIPTION OF WORK AA v <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W:R.E.C. <br /> =PLUMBING $ <br /> DiiMECHANICAL $ ® ® VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY-/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN" Y=/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/. N FEE CURREN Y/N <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 submittaf date. Required onsite,Construction Plans,Stormwater-Plans w/S11t 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 /> Minimurri 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)orPowerof Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTIhd-'i ,,i`iJ:(Wpy,of c9`n_6,ac4'r•equired) <br /> Reroofs if shingles; Sewers Service,IJpgrades:PJC Fences(Plot/Survey/Footage) <br /> Driveways-Not over.Cour4er•if on publio.roadways::iieeds ROW <br />