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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 /> Owner's Name ire bcr I Owner Phone Number <br /> Owner's Address W,/O a Owner Phone Number <br /> �S Owner Phone Number <br /> JOB ADDRESS `1( ' txc ap LOT# <br /> SUBDIVISION PARCEL ID# - V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK•PROPOSED NEW CONSTR ADD/ALT = SIGN. _ = DEMOLISH <br /> R INSTALL• B REPAIR <br /> PROPOSED USE Q SFR 0 COMM = OTHER <br /> TYPE OFICONSTRUCTION = BLOCK Q FRAME _ STEEL 0 <br /> DESCRIPTION OF-WORK �Q <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ - v 4 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> -Z, <br /> -#,, <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , <br /> =GAS = ROOFING 0... , ,$PECIALTY = OTHER <br /> FINISHED FLOOR.ELEVATIONS FLOODZONE.AREA- =YES NO 111 I <br /> BUILDER COMPANYT�_' W <br /> SIGNATURE REGISTERED Y/ N FEE.CURRE� Y/N <br /> Address' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYIN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LL1LNLJ <br /> Address License#` <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ 'N- FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLLN <br /> Address License# <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-insta_lled, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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.(1.0)working days;after: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. <br /> Directions: <br /> Fill out application completely. <br /> L\ 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 /> ER THE COUNTER PERMITTING (copy-of contract required) <br /> s if shingles Sewers Service Upgrades' A7C Fences(Plot/Survey/Footage) <br /> ways-Not over Counter if on public roadways..needs ROW <br />