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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 Perm€ttIn <br /> 9 <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM-PROPERTY TAX.NOTICE)'. <br /> WORK PROPOSED NEW COMTR ADD/ALT SIGN -Q :DEMOLISH <br /> e . INSTALL R REPAIR <br /> PROPOSED USE D SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE $=.FOOTAGE .HEIGHT ___ . <br /> I =BUILDING, _7 114 <br /> VALUATION OF TOTAL CONSTRUCTION' <br /> =ELECTRICAL AMP SERVICE DUKE ENERGY' Q W.R.E.C. <br /> QI?LUMBING <br /> =MECHANICAL $� VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS Q ROOFING SPECIALTY OTHER . <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLYIN J. <br /> Address License#.1 _ <br /> ELECTRICIAN• COMPANY <br /> SIGNATURE REGISTERED' Y/ N FEE CURREN <br /> Address License# F I <br /> PLUMBER �:� COMPANY t1�bt'-t ecti�I <br /> SIGNATURE REGISTERED ,Y'/ N FEE CURREN `Y/N '` <br /> Address License# F-. �• <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/:•N,.,, .. FEE CURREN Y,%,N..: <br /> Address License#.� <br /> RESIDENTIAL Attach(2)Plot'Plans;(2)sets of Building Plans,(1)set of Energy Forms;RHO-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.Aumpster,Site Work Permit for subdivlsions/large•projects <br /> COMMERCIAL Attach(2)complete-sets-of tau€iding Plans--plus a L€fef-Safety'.Pege;(1)set of Energy Forms.R-O-W Permit fornew construction. <br /> Minimum ten(10).working,days after submittal date.,Required•onsite;Construction.Plans,.Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpstet.Site Work Permit for al!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. (AtC upgrades aver$7500) <br /> Agent(for the contractor)or Power of Attorney.(forthe 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 Counter if on public roadways..needs ROW <br />