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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 l r ic; Owner Phone Number <br /> Owner Phone Number <br /> Owner's AddressFqTo6 Ti%b-), L <br /> Flt(_0 lj y- L:, Owner Phone Number <br /> JOB ADDRESS LOT# C�� <br /> SUBDIVISION PARCEL ID# T,�, c C)G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTIRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 'STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> LILDING $ <br /> _U E1 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION O V 0 <br /> =GAS L J ROOFING 0 SPECIALTY = OTHER Z�11 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LZ_LN_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <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 Y/N <br /> Address License# <br /> OTHER COMPANY C IZ o o <br /> SIGNATURE REGISTERED Y/ N FEE CURREN rY/N <br /> Address I License# I C,(C R S() 9`7 <br /> HHHHi 11 s 1!H! 1!111 H 1 H!111!1 H 11 HH m 111111 1 H H 1 H 1111 111!HH 1 a H j 111111111 it H 1 B 1111111111 if+ <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 subdivisionsAarge 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 /> ........... <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign ppck•of.application;%notarized,- <br /> If over$2500,1a Notice of Commencement is required, '.,(A/C upgrades over$7500) <br /> Agent(for the contractor)of P&ier'6f:Attdn­iey,,(foe the,owh6r)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ;.-i'(copy pfcon <br /> Reroofs if shingles _'$eryice_Upgrades,­A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />