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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivqd <br /> Phone Contact for Permitting <br /> rrrrrrrr.......... ............. ......... <br /> Owner's Name if iz Owner Phone Number <br /> -21 <br /> Owner's Address -3 t T 2 2 f d&i o,14 /4 Owner Phone Number <br /> Owner Phone Number <br /> 3 <br /> JOB ADDRESSOS22LOT# <br /> SUBDIVISION Vt �i 9PARCEL ID# 3J-- � 2 P 00,S-0-000 00-0'12 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK F__1 FRAME STEEL <br /> DESCRIPTION OF WORK 61 d 61d l q Ve- a- Li t 6(q ck e L (v-ez� <br /> FBUILDING SIZE FOOTAGE -/&?7 HEIGHT <br /> 11111111144 ...... <br /> =BUILDING 1 1 0 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER � 11A —7 COMPANY <br /> / <br /> SIGNATURE �/f r — - REGISTERED Y/ N FEE CURREN LILN_J <br /> Address FS'�7.5-0 71.q lsFrad' I-A" I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> Address —1 License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address —1 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_Y_LN J <br /> Address —1 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ I <br /> !HHHHHHH <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&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 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 /> N 1 9 v Z s i 9 i 9 i i i i 11 a a N 1111 g t 8 N N g 1 1...... i.1111 g I i i i i i i I i I i i I i i I;i 11 1 1111 a 11 i 111 r 1111111 i I i I i i i i i I i I I I I I I ......... PW4444444:1� <br /> Directions:----- <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,.notarized <br /> If over$2600,a Notice of Commencement is required., (A/C,upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for theowner)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 />