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813-780-0020 City of Zephyrhills Permit Application r,ax-o'i a-i ov-vuz i <br /> Building Department <br /> Date Received 1 Phone Contact for Permitting Lg. <br /> TTT� t ......... .. .... <br /> Owner's Name el? Owner Phone Nu <br /> Owner's Address C"k I-e- Z_ v Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 5-5� 3 <br /> 7— lit S r-Z 755J.2 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 Q SFR = COMM 0 OTHER <br /> TYPE-OF CONSTRUCTION 0 BLOCK F__1 FRAME = 'STEEL, <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> IEBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL I$ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i i i i i 2 2 1 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L�N <br /> Address I License# I <br /> ELECTRICIAN COMPANY L�N FEE CURREN <br /> SIGNATURE REGISTERED <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly/N <br /> Address I License# <br /> MECHANICAL COMPANY LL-- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# F- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> Address License# <br /> HHHH <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&-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 /> 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 of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />