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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���(, Owner Phone Number u <br /> Owner's Address �!l 0A ® Owner Phone Number <br /> 1� Owner Phone Number <br /> JOB ADDRESS S I b r LOT# <br /> SUBDIVISION PARCEL ID# 1' " 2./ -I GHQ U 2 0 09 J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 STEEL = <br /> DESCRIPTION OF WORK e PG/tG— SV /� T�G- U/bZ� S ��/l G- `G 72 2t <br /> BUILDING SIZE SO FOOTAGE= HEIGHTutviiol <br /> =BUILDING $�. O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING I$ 4160- �J <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS EY ROOFING Q 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' License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# �� I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTE D Y/ N FEE CURREN Y!N <br /> Address License# F — <br /> OTHER y t OMPANY (1 I1 l AI <br /> SIGNATURE ` REGISTERED Y/ N FEE CURREN Y!N <br /> Address �.3 AI)G C/l License# ai, 1//pi- r� <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 /> Direct)ons: <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 />