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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received j Phone Contact for Permitting - /`� <br /> Owner's Namer r�n018, 1�-}-F�� Owner Phone Number a/J 7/3—Y-7-7 <br /> Owner's Address 3-7 uv, 15-1- Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS �-1 137 J VVI LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT III SIGN Q Q DEMOLISH <br /> INSTALL REPAIR o� <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 CSTEELLn <br /> Q <br /> DESCRIPTION OF WORK n(.l_ '�.� 3`r0 i -1 & -�rlrjC^I-le <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL s+� VALUATION OF MECHANICAL INSTALLATION <br /> $`� <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY lelwesr <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 6. <br /> s; OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 w/Silt Fence installed, <br /> Sanitary Facilities&,1 dumpsterp 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 /> San itary�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: <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 thl,Woer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of cor?"ct 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 />