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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 2 <br /> Date Received Phone Contact for Permitting ( .40 <br /> � <br /> Owner's Name -P 1 L-el 11 Owner Phone.-Number 91D <br /> Owner's Address 6 9 c / " hQ Owner Phone Number <br /> Owner Phone Number . <br /> JOB ADDRESS C7� YC I Y` 1 �. LOT# <br /> SUBDIVISION PARCEL ID# b R <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN', _ = DEMOLISH <br /> R INSTALL e REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> j: TYPE.OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> I• � <br /> DESCRIPTION.OF WORK ��-� �� <br /> BUILDING SIZE ! r x SQ FOOTAGE HEIGHT. I / <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION . <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> C =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY TYI <br /> SIGNATUR EGISTERED N FEE CURREN / /I <br /> Address 9 License# -5�- -b <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/,N FEE CURREN Y/N <br /> Address License# <br /> b ' <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N' FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN = Y./N <br /> Address License# <br /> RESIDENTIAL Attach'(2).Plot:P.lans;(2)sets of Building-Plans;;(1)set of:EnergyForms;•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 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 81 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 /> 14 <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 /> 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 />