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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Receivedzaa � �Phone Contact for.Per..... ng <br /> Owner's Name Owner Phone Number. <br /> Owner's Address il Owner Phone.Number <br /> Owner Phone Number <br /> JOB ADDRESS d Y� (/ Z / • 5� p� LOTS [--1- <br /> SUBDIVISION C�17y pN Zal!�lZ GI I PARCEL ID# oo 'o <br /> (OBTAINED FROM PROPERTY TAX NOTICE). <br /> WORK.PROPOSED NEW e. CONSTR:. ..A T SIGN Q' DEMOLISH INSTALL �-�' EPAIR <br /> PROPOSED USE Q... SFR Q. Comm OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK = FRAME STEEL Q <br /> DESCRIPTION OP WORK" �r W"iet 0 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 7 a�`�� AMP SERVCCE.j 0 :DUKE ENERGY Q W.R.E.C. <br /> 6 ... <br /> =PLUMBING Z1Z4Z1/.. <br /> g <br /> =MECHANICAL VALUATION OF MECHANICAL:INSTALLATION <br /> =GAS = ROOFING 0, SPECIALTY OTHER , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE ARE =YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED. Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY ? . 4 fC `f' <br /> SIGNATURE r� REGISTERED I r4l.N FEE;CURREN /N j <br /> Address J l v License;#, OQ�jIp� <br /> PLUMBER COMPANY <br /> SIGNATURE, REGISTERED Y/ N " " FEE"CURREn "Y'/N ' <br /> Address License# �" <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L -N' j FEE'CURREN •Y,/,N <br /> Address License# , <br /> OTHER COMPANY . <br /> SIGNATURE REGISTERED I Y/ N. FEE CURREN Y/N-- <br /> Address. License#.17 - <br /> RESIDENTIAL Atti Plot Plans;,(2)sets of,Building Plans;(1')set of-Energy-Fo s;,R-O-W Permit for neriv;construction, .. <br /> Minimum ten(10).working days'after submittal'date. Required onsit ,'Consfnrction Plans,Stormwater Plans.w/Silt-Fence installed, <br /> Sanitary Facilities&1'dumpster;Site Work.Permit for subdivisfonsAe rgeprojects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus.a.Life•Safety,Page;( )set ofkEnergy Forms.R-O-W Permit for new construction.,;. <br /> Minim_urn ten(1'6)working days after Submittal-,date. ,Required onsit Construction Plans„Stormwater Plans.w/.SiIt Fence"installed,• <br /> Sanitary Facilities&1 dumpster.Site Work Permit'for all new project 5.All commercial requirements must meet compliance <br /> SIGN PERMIT Attech'(2)sets of Engineered Plans.'' <br /> ''"PROPERTY'SURVEY.required,for all,NEW construction. <br /> Directions41 <br /> Fill out application completely. <br /> Owner•&Contractor sign,back of application,notarized <br /> If over$2500,a Notice of Commencement is,rgqplred. (A(C upgrades over$7 00) <br /> " Agent(for the contractor)or,,pbwer of Attorney:(for;.the;owner)wbUto be,someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ,,{copy.of contract•requirec!} <br /> Reroofs.if shingles Sewers` ";"' c..Sery ce Upgrades,A/C:_� -,',Eenees,(Plot/Survey/ ootage) <br /> Driveways-Not over Counter if on public roadways::needs ROW:.., 11 ;. <br />