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city of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> 6 <br /> Phone Contact for�perm_ufi­ <br /> Owner's Name Owner Phone Number L <br /> Ile> <br /> Owner's Address Owner Phone Number' <br /> Owner Phone Number <br /> JOB ADDRESS <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONITRR ADDIAIT SIGN O Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 Comm OTHER L <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL F_ <br /> DESCRIPTION OF WORK _t�k�Ql' <br /> BUILDING SIZE <br /> SO FOOTAGE= HEIGHTI <br /> 4...........1, <br /> C5ELBUILDING $ 5o� VALUATION OF TOTAL CONSTRUCTION <br /> 09ELECTRICAL 1$ AMP SERVICE DUKE ENERGY 0 W.R.E.C. <br /> 29PLUMBING $ 8-0 — <br /> &.- I I p <br /> E!gUECHANICAL I$ —1 VALUATION OF MECHANICAL INSTALLATION 2 G- <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO lr 1 1 l/ <br /> HH!HHHHHHHHH HIIIIHIIIIHIIIIIIII HIH! <br /> BUILDER COMPANY <br /> SIGNATI REGISTERED YIN I FEE CURREN L_XI_N J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# I <br /> PLUMBER ez)az)-S-� COMPANY ca'Er C'�"S-fi� <br /> SIGNATURE REGISTERED FEE CURREN L_X1 N J <br /> Address License# <br /> MECHANICAL compmY <br /> -S A <br /> SIGNATURE REGISTERED FEE CUR EN Y i N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> HHHH! I I I I I I I I <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 submittal date.,Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large 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,Construction Plans,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 /> "=4,�:v <br /> D 0 <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$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 (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 />