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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> L......... .... -rrrrrrrrr <br /> rrrrrrTrrrrTyrrTTr rfilTrrrTTTrrrrrTrrrrry ... TTrrrrrr _r............... <br /> Owner's Name Owner Phone Number <br /> Owner's Address FT,1: 's Owner Phone Number <br /> 12t P k'J 1 ,'k l s 33S(411 Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION S PARCEL ID# 0 IS- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR5;q ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION pQ BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK LA-c,=- "ZL[o SEk- cA6 c_ L41s) S- Ek C 16 tc, <br /> BUILDING SIZEF-a`i_o� S 5 I SO FOOTAGE HEIGHT M) <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ W.R.E.C. <br /> AMP SERVICE _ZQO�> DUKE ENERGY <br /> =PLUMBING 1$ - <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> .............. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LL N_J <br /> Address License# <br /> ELECTRICIAN COMPANY f S <br /> SIGNATURE REGISTERED Y/ N FEE CURREN tt Ly LN J <br /> Address Q r License# bJ Q C) <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> HHHHi HIIIIH 121 H!HIIIIIIIIIHIIIHIHIHIIIIII!HIIIIIIIHIIIIH l-f <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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 /> ............ <br /> tio <br /> D c ns: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or,,Pcwe.r of Attorn with notarized letter from owner authorizing same <br /> -owner).would be someone wi(for the <br /> OVER THE COUNTER PERMITTING copy of contract'r6qdifeff <br /> Reroofs if shingles Sewers `Service Upgrades A/C Fences(Plot/Surveyffio6tage) <br /> Driveways-Not over Counter1f on publi6'roadwbys6:rieei:ls ROW <br />