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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ' a <br /> Date Received :U� �y 0� Phone Contact for Permitting 0 shy --a ail <br /> Owner's Name 0 OG�r'i ueZ Owner Phone Number 9(2, <br /> Owner's Address Sy�� 41- J` e_e4 Owner Phone Number <br /> 2 '/�S Owner Phone Number <br /> JOB ADDRESS 5-6/3 Ze A f�,14 3 5­2/ LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME ��//= STEEL <br /> G/ 0 <br /> DESCRIPTION OF WORK �� �igc2 IV,^cox/ (.th 00/- <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> UILDING $ /) 0-I'll <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 4' AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION W <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �A COMPANY ( �1� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 /> I <br /> OTHER COMPANY <br /> r, SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 Powerof-Atfomey,(for;ttie-owner)would be someone with notarized letter from owner-authorizing same { <br /> OVER THE COUNTER PERMITTING' ,.(gopy of dontract.required) <br /> Reroofs if shingles °' Sewers'"' ' 'Seniice,UPgades;`A/C „ Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />