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.813-780-0020 City of Zephyrhills Permit Application t-ax-o-ia-tov-vu4i <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> rrrrrrrm......J ...... .. .... )rrrff... <br /> ................. <br /> Owner's Name Owner Phone Number <br /> Owner's Address l�a-60 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION -7 wll PARCEL ID# <br /> t (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM = OTHER �,61 -e(-r �7061'7 I <br /> TYPE OF CONSTRUCTION 0 BLOCK = FRAME STEEL ff <br /> DESCRIPTION OF WORK J Xee2;10-{ 6161 %nl�t'Y� 79_,14212 <br /> 1 BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL C <br /> VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHH"! !IH Hll <br /> . <br /> BUILDER k4 COMPANY 4Z C <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED LY/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 7 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED .1 Y/ N FEE CURREN Y/N <br /> Address License# I I <br /> HHHH If I I I-H I!I I I I I I I I I I I I I I I I I!!HH I I I I I I Hf I HHH!Hi H!H if HHHi if 2 i H"+ <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 w/Slit 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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 /> 111-I I I a i I i I i II <br /> Directions: <br /> ---- - -- 1 <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 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 />