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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received --7 -3 <br /> Phone Contact for Permitting <br /> rrrfTrrrrrrTrT= ...... ...... .........rr� <br /> Owner's Name <br /> Nr-vtc4 Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 33Y LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER A3 <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME 0 STEEL <br /> DESCRIPTION OF WORK Z4k - OD"AA, <br /> BUILDING SIZE SO FOOTAGE HEIGHT F <br /> I...E <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> 0,1 <br /> [ELECTRICAL 1$ AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j <br /> Address License'# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address I License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address L License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRffN r-Y/N <br /> Address t4W9 05-7 -7 4 <br /> 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/Slit 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&I 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 /> l '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,91 ppq Ira 9!,Tequirdd)-- <br /> Sewers <br /> Reroofs if shingles F Servide;006r'ades,,.A/C, Fences(PlotlSurvey/Footage} <br /> Driveways-Not.over Counter.if.c�q,,P.4tiii(j.'to- s <br />