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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 CITY OF ZEPHYRHILLS Owner Phone Number 813-780-0022 EXT 3561 <br /> Owner's Address 5335 8TH STREET Owner Phone Number 813-780-0022 EXT 3561 <br /> Fee Simple Titleholde�Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS KRUSEN SKATE PARK LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR Xe ADD/ALT 0 SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK PAVILION,CONCRETE FLOOR,STEEL COLUMNS,WOOD DECKING,WOOD BEAMS,METAL ROOF <br /> BUILDING SIZE 24 BY 44 SQ FOOTAGE 1056 HEIGHT 8'-0" <br /> xOBUILDING 20,000 INSTALLATION VALUATION OF TOTAL CONSTRUCTION <br /> I <br /> DELECTRICAL NA AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. I <br />, 0 PLUMBING NA �� <br /> � (c�0 <br /> OMECHANICAL NA VALUATION OF MECHANICAL INSTALLATION <br /> �GAS X� ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY DELESLINE CONSTRUCTION, INC. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 3� �h ST• Im ��- 3y22� License# ��r L� G� b �� <br /> ELECTRICIAN COMPANY <br />, SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />�I Address License# <br /> MECHANICAL COMPANY <br />� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY �I��I�Vl.�. C.l�r(.t C=7l,dY�_ _ <br /> � <br /> SIGNATURE REGISTERED Y/"N FEE CURRE� Y/N <br /> Address License# w��S�d� Z <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, I <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)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 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 /> 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 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� <br />