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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> rT'rTTTTr.......... ....... Phone Contact for Permitting <br /> L ... ... ....... I......... ........... . ................Owner's Name Mwzrf�3 Owner Phone Number <br /> Owner's Address E:) Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT <br /> SUBDIVISION PARCEL 1D# OD IZ,rY11-00 D I� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL �q REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF'CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK [�WSAr l Q/\A,1e25 <br /> BUILDING SIZE SO FOOTAGE[ HEIGHT <br /> i i t 1 2 i 2 2 <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> QnELECTRICAL 1$ 1420, oo <br /> PLUMBING 1$ AMP SERVICE DUKE ENERGY W.R.E.C. <br /> = <br /> =MECHANICAL ($ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 6 i v i%N t 1 2 v i I I m i i i v i t v i ff i I I I v I I I I v I i i v I i i i i i i i i I I I i I I I I i i i i i i i i I i I l 1 1 11 1 1 1 2 1 f 1111 1111 a 1 1 1 N d a 1 1 1 2 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address —1 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED �_Y� N_J FEE CURREN L_X)N J <br /> Address License# F�Z_L a)c)o <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N_J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_Y±N_J <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/Slit 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 /> D re.t'l oi:ns: <br /> Fill out application completely. <br /> Owner&Contractor sigh back of application,notarized,.-- <br /> . _en'. r­ —If over$2500,a Notice of-Commencetht,is required.,..(YC upgrades over$7500) <br /> Agent(for the contractor} Power of Att6iney.(for tfie'o'w'n:e' '�',would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITtINd:'.'. ....(co-py,'6Vconiract requited) <br /> Reroofs if shingles sewers.- ..,.SeN ce-Upgtades'A!C'-. ..'Fences(PlottSurvey/Fo6tage) <br /> Driveways-Not over Counterif o'n public roadways..needs ROW <br />