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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 '? ��/Pfy-s `[ Owner Phone Number <br /> Owner's Address [c r l �rl�llc�/�9� D/t— ��7 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 6 7 o 7 l/i t4 a _gA D . LOT# <br /> SUBDIVISION LUG �/Q'[c J PARCEL ID# O Q2� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q/ FRAME STEEL <br /> = = <br /> DESCRIPTION OF WORK — �0 �0`�y�1 iY4 3 d 5ir(V,4Glff <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING $ ry !1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 0 U AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ Lk— <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS d ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address i License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> I <br /> OTHER / COMPANY (!�/��cA- <br /> SIGNATURE ,/�/— REGISTERED Y/ N FEE CURREN Y//N/ <br /> Address o �� !` 3 63 DRY CC Z License# c m /0,t v <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;( )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. (AIC 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 />