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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> V r <br /> Date Received C, Phone Contact for Permitting V <br /> ................ <br /> I - /` --5) 3 <br /> Owner's Name P.F_A'q'neLOwner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number 7S--7:Z <br /> JOB ADDRESS v LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> I - <br /> DESCRIPTION OF WORK <br /> LA� Li <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> t <br /> =ELECTRICAL 1$'5 le-1 J.%0 AMP SERVICE 0 DUKE ENERGY W.R.E.C. <br /> =PLUMBING r&— <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING F7 ' SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i i i i I I I @ 9 1 i 2 N i i i a I v I d. 1114 111 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 2 1 H 1 a I 1 1 1 1 1 1 1 N a 1 1 H 1 2 2 N 1 1 1 1 1 1 1 1 1 1 1 2 a 1 H 1 1! 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Lyl N J <br /> Address 7P —1 License# I <br /> ELECTRICIAN COMPANY 00-11A& 6 _C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_YLN J <br /> Address Iloo o License# <br /> FJ3(9 C2 1 76-3> 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_y LN__J <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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsfiarge 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'durripster.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 /> Tge4t4 <br /> D I=. <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 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 />