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813-780-0020 City of Zephyrhills Permit Application I-ax-0-1 a-I OV-VU/I <br /> Building Department <br /> Date Received Z Phone Contact for Permitting <br /> rrrrT717rrrr= <br /> Owner's Name L_( Owner Phone Number -703 <br /> Owner's Address SS53 13 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS ss-_C; 3 LOT# <br /> SUBDIVISION PARCELIDJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME = STEEL <br /> 2[DESCRIPTION OF WORK q - <br /> Wg�J <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ 7 1 VALUATION OF TOTAL CONSTRUCTION 0 <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ 7. VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING =' SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 7 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE 4v\,t--R— REGISTERED Y/ N FEE CURREN Ly N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED LILN_J FEE CURREN Y/N <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 License# F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <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/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&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 /> I I 1;4444444444444 i I l44:PPP444444XP <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 />