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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received "l r 9 Phone Contact for Permitting 13 - S <br /> Owner's Name j, L� Owner Phone Number <br /> Owner's Address wit t Owner Phone Number u) <br /> ^' ( Owner Phone Number <br /> JOB ADDRESS l0 JQ&nS� Z �1 33 sy I LOT# <br /> SUBDIVISION PARCEL ID# ��0� 02 I — �� ' oOL(UQ — VI 3D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = _ DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE = SFR Q COMM ® OTHER I 19X 1 5C I r <br /> TYPE OF CONSTRUCTION = L-eeK--Q_FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> r _ , <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ` $ AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r <br /> =GAS = 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 Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED =1Y/ N FEE CURREN <br /> Address License# <br /> i <br /> MECHANICAL COMPANY <br /> SIGNATURE 4REGIED Y/ N FEE CURREN Y/N <br /> Address / License# <br /> OTHER - COMPANY L- 6 <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 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. (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.::• :F.erices';(OIot/Survey/Footage)' <br /> iT�j�i:i•I <br /> roa Driveways-Not over Counter if on publiciiways,.needs <br /> +�. ,_y::a,sac:••' <br />