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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received / <br /> Phone Contact for Permitting - <br /> Owner's Name Owner Phone Number <br /> Owner's Address , qz c6 Owner Phone Number <br /> 1-' r Owner Phone Number <br /> JOB ADDRESS tj LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSED NEW CONSTR ADD/ALT 0 SIGN. <br /> INSTALL, rA REPAIR DEMOLISH <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE.OF CONSTRUCTION BLOCK 0 FRAME = STEEL 0 <br /> DESCRIPTION OF-WORK �Y1 (�1 �'( r'o V C' —i`0 n <br /> BUILDING SIZE F so FOOTAGEt� HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ 77T VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = I$PECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER /` COMPANY <br /> SIGNATURE, �d� REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN �j �� COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LYLN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y-/N- <br /> Address License#' <br /> MECHANICAL ' COMPANY <br /> SIGNATURE REGISTERED Y/ 'N FEE CURREN YY N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE -11 REGISTERED Y/ N FEE CURREN <br /> Address i License# <br /> RESIDENTIAL Attach.(2)Plot Plans;;(2)sets of Building Plans;(.4),set of Energy:Forms;R-O-W Permit fornew construction;­ - <br /> Minimum ten(10)working'days after:submittal-date.d,Required onsite,Construction'Plans,Stomtwater Plans w/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 a:Life;Safety,Page;(1)set of Energy Foams.R-O-W Permit for new,Construction. <br /> Minimum ten(10)working,days;afte�submittal date:,.Required onsite,Construction Plans,Stormwater P..lans w/: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.'PT-We A <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. (A/C upgrades over$7500) : <br /> Agent(for the contractor).or.Power,of.Atto.mey(for the owner)would be someone with notarized letter from owner authorizing'same .. <br /> OVER THE COUNTEWPERMITTING- a'(copyfof-contract required) <br /> Reroofs if shingles ,,;rSewers�' Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways=Not,overCounter-if on public roadways..needs ROW <br />