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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date RA.eceived Phone Contact for Permitting — <br /> 1_4 <br /> Owner's Name /Z Owner Phone Number <br /> Owner's Address AU 4 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 1 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX-NOTICE) <br /> WORK PROPOSED e NEW <br /> CONSTR 8ALL REPAIR SIGN Q = DEMOLISH <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK 0•I G <br /> BUILDING SIZE :1-SQ FOOTAGE HEIGHT, <br /> 14 <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 /> 1 <br /> =GAS = ROOFING_ 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER _ -- - COMPANY - --- - <br /> SIGNATURE . REGISTERED Y/ N FEE CURREN Y./N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N " FEE CURREN Y./N <br /> Address License# <br /> Al <br /> PLUMBER COMPANY <br /> SIGNATURE ISTERED FEE CURREN Y/N <br /> c. <br /> Address / ` License# <br /> MECHANICALF COMPANY <br /> SIGNATURE REGISTERED Y•/-N - FEE CURREN Y/N <br /> Address License# __J <br /> - <br /> OTHER- COMPANY , <br /> q SIGNATURE REGISTERED Y/ N FEE CURREN LIIN <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 Plan"s,'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 ohsite,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 Counte[if 66 publio'roadways..negds'ROW <br />