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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received —Z�✓C Phone Contact for Permitting <br /> Owner's Name S co 7T _W. 1P7AA1 —flztt T Owner Phone Number <br /> Owner's Address P© 60� Owner Phone Number ' <br /> Owner Phone Number <br /> JOB ADDRESS IP Z D LOT# <br /> SUBDIVISION PARCEL ID# 0 V '(Y990PD eJ1 D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME a= STEEL <br /> DESCRIPTION OF WORK I — ZOr7t W,/—N � <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ U VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ( AMP SERVICE = DUKE ENERGY = W.R. C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 9 <br /> =GAS 0/ROOFING = SPECIALTY = OTHER L/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I 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 License# <br /> MECHANICAL COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1 OTHER G � COMPANY ��! f✓ ���y <br /> t't SIGNATURE L—� / REGISTERED I Y/ N FEE CURREN <br /> Address Q 6a1� 3 63 �!/�A/��/� �li 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 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. '(AlCrupwades over$7500) <br /> Agent(for the contractot)•or Power of Attomey 4f ,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.need's'ROW ^ <br /> r <br />