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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ==Z-1' ..Phone Contact for Permitting <br /> .... .. . ... - . . I . III 1 11 1111 1 ...............Owner's Name mttj_ro)e�� , e", I Owner.Phone Number ' <br /> Owner's Addressl 1 Z 1 0 ey�� Owner.Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT#, <br /> SUBDIVISION PARCEL I D# —&'P to 6)7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR 0 Comm OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGEE HEIGHT <br /> 1 2 1 1 1 <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i I m i i i 2 v <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN_j <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_ILN J <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L)L/N <br /> Address License# <br /> MECHANICAL COMPANY, <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address F_ License# <br /> OTHER COMPANY 19W'Al k-ell—I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN J .Y/N <br /> Address /110 6N 10M5_.e11)1 License# Ife <br /> 2 <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/Slit 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: 11--1-1111111 1 1 1111;1111111444 111191 1111111 <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 Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />