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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> a . Building Department <br /> Date Received Phone Contact for Permitting :13 -/Q 17 — %16 /' <br /> Owner's Name �, �� a C/ ��t Owner Phone Number <br /> Owner's Address <br /> Q5 a) =CF0'r lQLL Owner Phone Number <br /> i <br /> Owner Phone Number <br /> JOB ADDRESS 39 ,7 37 , <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL :REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION.OF WORK 7(� ' 70,1 PP P 5 KLL-� 44 L kiq eta md�� <br /> BUILDING SIZE 1 SO FOOTAGE=. HEIGHT. <br /> I. <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ (n <br /> MECHANICAL $ 2 5m VALUATION OF MECHANICAL INSTALLATION <br /> J l <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE'AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN > <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ID <br /> MECHANICAL COMPANY A_`r <br /> SIGNATURE REGISTERED Y/ N' FEE CURREN �►1Yl/-N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> i <br /> Address License# <br /> RESIDENTIAL Attach'(2)Plot,Plans;(2)sets of.BuildingRlans;..(1)set of,.Energy.Forms;zR-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 Power of,Att6mey'(for4he'owne6'would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING,.;.,.:, 4;i(ggpy ofcontract required). <br /> Reroofs if shingles Seders;., •,,, 'Service U' des`'A/C: :::F.ences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> j <br />