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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 Permitting <br /> =.....I...0— ...... .............. <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> ` Owner Phone Number <br /> ( <br /> JOB ADDRESS LOT# C� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED-FROM-PROPERTY TAX.NOTICE)_.. <br /> WORK PROPOSED e NEW CONSTR R ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT �. <br /> ! QBUlLDtNG $ VALUATION OF TOTAL'CONSTRUCTION <br /> =ELECTRICAL ($ AMP`SERVICE DUKE ENERGY 0 W.R.E.C. <br /> L <br /> OPLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA C]YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN . Y/N <br /> Address` License# r 7 <br /> ELECTRICIAN' COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREN <br /> Address License# �� <br /> PLUMBER �./ ../ /... COMPANY L�Lr�.rs �� �lr � <br /> SIGNATURE REGISTERED Y/' ]­Y/N­-N FEE CURREN <br /> Address License.# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I 'Y I R.., FEE CURREN - Y:'/,N.•. '�"� <br /> Address License#.� f <br /> RESIDENTIAL Attach-(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after subrnfttal"date.,Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1,,dumpster,.Site Work,Permit"for subdivisions/largi projects <br /> COMMERCIAL Attach(2)complete.sets of Building Plans-Plus a Life Safety.:Page;(9)set'of Energy Forms.R-CrW Permit for:new.construction. <br /> Minimum ten(10).working days aftersubmittal date.•.Required-onsite;Construction.Plans„S,tormwater Plansw/Silt Fence installed, <br /> Sanitary Facilities&1 dumpstet: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 /> Directions1411*W: <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 COUNTERPERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />