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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 /> I............I...L ........ ....... <br /> Owner's Name Owner Phone Num '2 20i�_3'0 <br /> Cbsevm <br /> Owner's Address 1/0 7/-57 O <br /> wner Phone Number <br /> F 7 Owner Phone Number <br /> F <br /> JOB ADDRESS F -got / ;7 7s4 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONITRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR F__1 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK E3' FRAME = STEEL <br /> DESCRIPTION OF WORK CIOSIn 1 A1 67,r, e Vollal- 2 k1t'0' ob0,f <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> P� <br /> =GAS = ROOFING 0 SPECIALTY = OTHER & <br /> FINISHED FLOOR ELEVATIONS 7 FLOOD ZONE AREA =YES NO <br /> 0 <br /> I /041 7/ ,�r <br /> COMPANY <br /> BUILDER <br /> SIGNATURE REGISTERED Y/ N FEE CURREN D /N <br /> Address License# <br /> ELECTRICIAN /7 r COMPANY <br /> SIGNATURE & REGISTERED Y/,k- FEE CURREN <br /> Address La2 X6/- �z J2 -�/'—TyP License# <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN LILN J <br /> Address License# <br /> 4�70 0 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N I <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> HHHH I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I i I I I I I I I <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&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 />