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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> c <br /> Date Received Phone Contact for Permitting 17 <br /> e <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 /> �(OSTAINED,FROM PROPERTYTAX,NOTICE) . <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISHE3 ' <br /> INSTALL 8 REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL = <br /> DESCRIPTION OF WORK <br /> 0 C <br /> BUILDING SIZE E SQ FOOTAGE_ HEIGHT. <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ � AMP'SERVICE 0 DUKE ENERGY` 0 W.R.E.C. <br /> =PLUMBING �-7 <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 I N FEE CURREN . Y I N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED' Y t"N FEE CURREN <br /> Address License# j <br /> PLUMBER COMPANY <br /> SIGNATURE ( REGISTERED E;W <br /> FEE CURREN "Y 1 N `` <br /> Address License# <br /> MECHANICAL ;, COMPANY <br /> SIGNATURE• REGISTERED YIN FEE CURREN Y t N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 'Y I N,.-;- .. FEE,CURREF LYJ:N.•:. <br /> Address License#,F <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 submittai'date. Required onsite,Construction Plans,Stormwater Plans wt 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 a1lfe 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,Construction Pians;.Stormwater Plans wl 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 /> ------------ <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. (AIC 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 (eopyof 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 />