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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 53,1 S — <br /> ` <br /> Owner's Name Owner Phone Number I,O i^ �(10 3�4 <br /> Owner's Address ( _ Z Owner Phone Number <br /> C� u� Owner,Phone Number. <br /> JOB ADDRESS &-I l t if 339� Z LOT# " <br /> SUBDIVISION PARCEL ID# C� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q :FRAME STEEL 0 <br /> DESCRIPTION OF WORK :,>I&I <br /> BUILDING SIZE SO FOOTAGE HEIGHT F <br /> =BUILDING $ � ` VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP.SERVICE DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ � <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GASH ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA .OYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/. N FEE CURREN Y!N � <br /> Address 5 pq License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURRE1, LILN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# F — <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREI, <br /> Address License# F_— <br /> i <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, <br /> V. <br /> Address F 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 Plansi 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("1%working days after-submittal date. Required onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities-&.I dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets:of Engineered-Plans. <br /> ""PROPERTY SURVEY required for ali 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 /> Rerocfs if shingles Sewers... <^ -Service"Upgrades-~A!C==`--•--Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on:publie niadwaysi neetl,146, <br />