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813-780-0020 City of Zephyrhills.Permit Application Fax-813-780-0021 <br /> Building Department <br /> � I <br /> Date Received Pho a Contact for Permitting <br /> Owner's Name /Z�S�/�e �v�' �L2�I®(v /� Owner Phone Number <br /> Owner's Address ��vv Owner Phone Number <br /> I <br /> i <br /> Owner Phone Number <br /> JOB ADDRESS 6 2e �i {�' !f �Z LOT# <br /> co c a6 eP/-v�o -06 oZ - v.t"ela <br /> SUBDIVISION � N /� 2k PARCEL ID# � I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM [ ] OTHER / <br /> —776 <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME /= STEEL Qo / <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> =BUILDING $� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ j <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION *X-V <br /> =GAS = ROOFING 0 • SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> W <br /> V" <br /> BUILDER UCOMPANY ! 44 V`;w1Clf ul <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� /JY/N l <br /> Address Me � 17 !� v� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> I <br /> - I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <br /> OTHER COMPANY <br /> 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,----I---- - - <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 /> I <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 /> I <br /> I <br />