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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received`` Phone Contact for Permitting - <br /> Owner's Name n\n Owner Phone Number <br /> Owner's Address _ 3 CJ. � Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS I 2•34 S t vz-k V-- LOT# <br /> SUBDIVISION PARCEL ID# 3S - 5;- 2 1- 005A -00060 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER Gr- <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK RX Om eXiS}in auh Vtr1lL QNA -.""Vok � }4i' Itc,n <br /> BUILDING SIZE SCI FOOTAGE HEIGHT <br /> BUILDING $ / 2 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ l AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ / <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHHHHM <br /> BUILDER COMPANY I��� A� S�t - �m�e' <br /> SIGNATU G��— REGISTERED Y/ N FEE CURREN Y/N `r <br /> Address `1311 D G •4 L. L 0. PL 3-3 6R I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address i License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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&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 /> 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 `,(c6Py of contract required) <br /> Reroofs if shingles Sewers Service'Upgrades`A/C'.: Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if onputilic roadways.:rieeds ROW <br />