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813-780-0020 City of Zephyrhills Permit Application 3 780-0021 <br /> Building Department <br /> Date Received Perini ing Phone Contact for 7 777 7 <br /> OWneevName' <br /> IV a /,j Owner Phone Number <br /> kJ1 r Sr Owner Phone Number <br /> el 3 5,q <br /> JOB A6DRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR F/Q--1 ADD/ALT SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE E)S SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK CJ FRAME 0 STEEL <br /> J"J" <br /> DESd /,v I it,, S 4-,q <br /> BUILDING SIZE F- SQ FOOTAGE= HEIGHT <br /> $ <br /> VALUATION <br /> ------- OF TOTAL CONSTRUCTION FOO 0 <br /> . - I <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY/n <br /> W.R.E.C. <br /> lLo— 2A08 <br /> =PLUMBING 1$ VT <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION —auk--, <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No + <br /> i 2 1 v i i N i i i i i i 2 i i i i i i I i <br /> BUILDER,----- <br /> SIdNAf6IRE REGISTERED Y/ N^ FEE CURREN L_Y_LN__j <br /> Address i License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED' 'Y I N FEE CURREN <br /> Address License# <br /> HHHH! I I i I I I I 1 2 111111 111 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 w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site W'ork 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&I 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 /> Iio <br /> D ns: <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 i ' <br /> Reroofs if shingles Sewers Service Upgrad6s erices ttSurvey/Footage) <br /> Driveways-Not over Countdiff on pubIic,roadways;.,.heddi--wow <br />