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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 oS <br /> Owner's Name • Owner Phone Number Lr/7 7 0/1?0 <br /> _C7 <br /> Owner's Address Owner Phone Number <br /> 7 <br /> Owner Phone Number <br /> JOB ADDRESS • LOT# <br /> SUBDIVISION PARCEL ID# 0(3 a (0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> L <br /> PROPOSED USE SFR 0 Comm OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE[= HEIGHT <br /> L__JBUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> 1 y�6 $MECHANICAL VALUATION OF MECHANICAL INSTALLATION 1 <br /> =GAS 0 ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_X N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L_KL_LNJ FEE CURREN LKLN J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED q0LN_J FEE CURREN W N <br /> 30 License# <br /> Address 1/.:Z.A,3a as 14 <br /> REGISTERED =1Y N FEE CURREN LKLN <br /> OTHER COMPANY <br /> SIGNATURE _J <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 installed, <br /> Sanitary Facilities&I 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 /> I 111-14 1 1 i i i I i i44 i I I <br /> Direc <br /> tions: <br /> I= <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 ofc9n-tract required),. <br /> ervice Reroofs if shingles Sewers S " " I e ..'' ,,U pgiid-S A/C, Fencies(Plot/Survey/Footage) <br /> Driveways-Not over Counter'If on.6dblid'rdad needs ROW <br /> !ways: <br />