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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 O�3 <br /> Owner's Name V4 Owner-Phone Number <br /> Owner's,Address Owner Phone Number <br /> Owner Phone Number. <br /> F_ <br /> JOB ADDRESS 37 1- 2- r LOT# <br /> SUBDIVISION PARCEL ID# Id�� l �odJ I' v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL R <br /> REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK = FRAME = STEEL =. <br /> DESCRIPTION OF WORK Aa�w `Pr-.5uj <br /> iho 41 <br /> BUILDING SIZE SCI FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> SERVICE � DUKE ENERGY �W.R.E.C. <br /> ELECTRICAL $ ,/�./ � �`'' 0 <br /> =PLUMBING $ f LP 7l/30. AMP S <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = ,OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �1 F License# <br /> ELECTRICIAN , `��U COMPANY �� to�iPC 1'<<- Cl-era t0U1n <br /> SIGNATURE U ' REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# Z o tZ <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 <br /> Address License# <br /> i <br /> OTHER COMPANY <br /> f 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 fornew 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 8-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 />