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IF 813-780-0020 City of Zephyrhills Permit Application Fax-813-7uu-uuzi <br /> Building Department <br /> Date Received Phone Contact for Permitting V <br /> �' <br /> Owner's Name PVR C Owner Phone Number <br /> Owner's AddressF Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS C_5A WO r LOT# C� <br /> SUBDIVISION L PARCEL I D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL R REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> ,:.::>r- <br /> DESCRIPTION OF WORK rl 6>L',(4 Ls <br /> BUILDING SIZE SO FOOTAGE= HEIGHT C! <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> I I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I / N FEE CURREN <br /> Address XA,) Crn A-- R->/,0_0 License# F_c6c <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address Z. License# I �c <br /> COMPANY <br /> S i` 3 "l "} _ REGISTERED Y/ N FEE CURREN L_y LN_J <br /> Address License# <br /> C_ <br /> MECHANIC;C , COMPANY <br /> I - <br /> SIGNATUR REGISTERED <br /> Y_L N_j FEE CURREN <br /> Address License# F- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address <br /> Add License# F_ <br /> HHHHa H HII III HHHHH""aff HHHHHH!I! 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 wl 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 /> .......... -------- <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. (AIC 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 roadways..needs ROW <br />