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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting d IS <br /> Owner's Name �ecnaaje-T Owner Phone:Number <br /> Owner's Address hQ.- r Owner Phone Number <br /> oez le'l Owner Phone Number <br /> JOB ADDRESS Blvd LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> E� INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q ii BLOCK Q FRAME = STEEL = <br /> DESCRIPTION.OF WORK I 4 r �)t? v- I pl- / <br /> BUILDING SIZE SO FOOTAGE=. HEIGHT. <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ L n wo. <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE'AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN .. Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N' FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN <br /> Address 2-4450 s5kc')rP T W esk a License# <br /> RESIDENTIAL Attach`(2).Plot'P.lans;(2)sets of Building,Plans;.(1)sets 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 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. Reyuired-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: z <br /> Fill out application completely. <br /> Owner&Contractor sign back of application;notarized <br /> If over$2500,a Notice of Commencement is 4equlred: .•(A/C upgrades'dver$7500) <br /> Agent(for the contractor)or Power of Attomey(for•,the,owner)would be someone with notarized letter from.owner:authodiing same <br /> OVER THE COUNTER PERMITTING, co :q ) <br /> I ( py.of•contract re uired - 1 <br /> Reroofs if shingles Sewers �'Setvice;Upgra&s-A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW 4 er :' = ' <br />