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813-780-0020 City of Zephyrhills Permit pplication Fax-813-780-0021 <br /> Building Department <br /> Date Received (� .Phone Contact for Permitting -- (� 1 <br /> Owner's Name C?�A'1 ` A t e Owner Phone Number "[ o l� <br /> Owner's Address J A Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS I ) Q LOT# <br /> SUBDIVISION PARCEL ID# C)D V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR'e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK <br /> q n Q FRAME = STEEL 0 <br /> DESCRIPTION OF WORK iw'c 1ci'(�Q <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CC NSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANI AL INSTALLATION <br /> =GAS ffiff ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED PYP/ N FEE CURREN /N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 Y/N <br /> i� <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy For s;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite, onstruction Plans,Stormwater Plans w/Silt Fence installed,- <br /> Sanitary Facilities-&1 dumpster;Site Work Permit for subdivisionsflar a 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, onstruction 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$75 0) <br /> Agent(for the'con4ractor)or Powerof-Attorney-(for,the owner)would besomeonewith notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contradt required) <br /> Reroofs if shingles i. Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ' <br /> Driveways-Not'over-Counter:if..on,public roadways..needs ROW <br />