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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> A' <br /> Date Received Phan p Contact for Permitting F( <br /> ............ .......I..........44=1 .4..... <br /> tt�fif <br /> Owner's Nam® IM one Number <br /> 3 Owner Phone Number <br /> Ln1 Owner's Address <br /> 4— tnZ!�� <br /> Owner Phone Number <br /> _VJ VP1 <br /> F <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM u OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ ? SERVICE W.R.E.C. <br /> 0 AMP DUKE <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I I I i 0 i i I I I V M V%i M I i I I I I I I I I I I I 1 0!I I I 1 1111 ffi i 2 1 i i i i i i i M i i i i i i I i t i i i i M 0 i i I I I i I I I I i I i i M i M i i i I i i I i V i <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> Address License# <br /> ELECTRICIAN �kx COMPANY 6 t J-r-t <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address F_ License# 00 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address —1 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN J <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURREN I_y_LN_j <br /> Address License# F <br /> IIIIHHHHH"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 wl 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 /> ................ ...... <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 e <br /> PERMITTING --,-,:�(qppypf,qpptractr4i�'Oird)s <br /> I f_ . . . ­ I <br /> Reroofs if shingles Sewers �.Servlce Upgrades-A/C' I 'Fences(Plot/SurveylFoo'tage) <br /> Driveways-Not over Cpunterif 6npubII ro 8 ,ee.d;0 <br /> a.ways,-n s,ROW <br />