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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 �� y l Owner Phone Number J r U' <br /> Owner's Address l 32--2— Owner Phone Number <br /> 3 Owner Phone Number <br /> JOB ADDRESS 1 ! LOT# <br /> SUBDIVISION meim 0 R , PARCEL ID# '2/-/L- -OD5 A-OQOW"/5 O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q p BLOCK �QfJ di <br /> 0 STEEL Q <br /> DESCRIPTION OF WORK (/ �1.IO co �- IAi mo &Ur ( � h <br /> BUILDING SIZE SQ FOOTAGE HEIGHT mt e <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ r-5 1 1 !1 Q VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY 0 OTHER It <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address LLiicense# I <br /> ► <br /> ELECTRICIAN COMPANY I As Mat imax 1 <br /> SIGNATURE /^� REGISTERED Y/ N FEE CURRU Y/N <br /> Address 0 Q 0- A)• S-4e, U19y A 331(00 License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP <br /> Address E I License# <br /> MECHANICAL COMPANY I qeAWO \� <br /> SIGNATURE REGISTERED Y/ N FEEICURRU Y/N n <br /> Address 3 fl) 0W/0,33�[?b License# L <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP <br /> Address License# <br /> Imm <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. (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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />