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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> -Phone Contact for Permitting tF511 <br /> rT7=............ <br /> Owner's Name ot- Owner Phone Number <br /> Owner's Addressi VOLW3 Q_�_ I Owner Phone Number ocl 7 a <br /> EQur�[-k�, Owner Phone Number <br /> V <br /> F <br /> JOB ADDRESS 0a )akf Z". Of+Ids )5491 LOT# <br /> SUBDIVISION PARCEL ID# 0-a -.2zp -1150 _0000C), 00-7 1) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK PrD-0 9 Rdd(Won ale. PV 15010r i2�km hco P-A)10- <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ if DOC) AMP SERVICE DUKE ENERGY W.R.E.C. <br /> Ik ( <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :TW <br /> .............. <br /> BUILDER t <br /> COMPANY <br /> SIGNATURE REGISTERED JUYI N FE"URREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY 00 <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address �J 544 License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_Y2 N J <br /> Address 7 License# F_ <br /> MECHANICAL COMPANY L_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 /> Dl;:Ct,=. <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, <br /> Fences(Plot/Survey/Footage), <br /> Driveways-Notover Counter if on public <br /> c roadviiays..rieeds ROW <br />