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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 /> .................. ......-1T7TT7TTT1=._1 ............ ......... rM I I <br /> Owner's Name Owner Phone Numb r �2_3 �/7 <br /> Ll VXIAA I - - <br /> Owner's Address F_37-2 3 o P�Qse_ Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS R46j.-- LOT <br /> SUBDIVISION PARCEL I D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK LA� i�� k�4-yu\,o W,,ah <br /> BUILDING SIZE I i SQ FOOTAGE HEIGHT C _� <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL 22 ,0() AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING F__1 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE ✓ REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> ELECTRICIAN COMPANY Jar, <br /> SIGNATURE REGISTERED 1(1/ N I FEE CURREN I(Y� <br /> Address License# E6 1.3 00 3( <br /> PLUMBER COMPANY L_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN [_y LN_] <br /> Address License# <br /> I I 1 2 1111111 H+ <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 Pla6s 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 Plafis,Stormwater'Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site'Work Permit for all new projects.All commercial,jequlrements 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 (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 roadway,s..n,eeds ROW <br />