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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received aq TrrrTT=7I!In7I7rrrT_TT= 1Phone Contact for Permitting OcA I <br /> Owner's Name Owner Phone Number <br /> Owner's AddressWo bw'lorml, I Owner Phone Number <br /> IOwner Phone Number <br /> q <br /> _&ALAA-3 4N S4V�Lf <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# —00 VD—kq%Ob—0 14D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> � e <br /> DESCRIPTION OF WORK .JCLI Q. <br /> BUILDING SIZE SO FOOTAGE= HEIGHT F_ <br /> 1 1 1 111 1 1 14-4 Jill­ <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ e7r'.0 AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 7 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_j <br /> Address License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED It Yy N FEE CURREN ULNN_J <br /> Address PC) I kil 6 F 325SY1.C% License# C_I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address —1 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N J <br /> Address License# F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# I <br /> I I I I I I I I I+ <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 dumpste?;.Sitie Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets-61"66ildin9' 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 (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 />