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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> A Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name AZzV I-Z(f Owner Phone Number <br /> Owner's Address l /i/e- Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS o"I", Al'zl LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONITRR ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING I$ e/�� CfJ I VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =ME CHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 11K ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS I /.�—/ 7 FLOOD ZONE AREA =YES NO <br /> .... ...... <br /> .......... <br /> BUILDER COMPANY <br /> SIGNATURE �r REGISTERED Y N N <br /> /,4,? <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LjjLN�j <br /> Address —1 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_Y_LN_j <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 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&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 dfAttbmey(fot the owner)would be someone with notarized letter from owner authorizing same <br /> 4 <br /> OVER THE COUNTER PE q <br /> " (6op -of contract-re uIred) <br /> Reroofs if shingles Sewers.' ice- pgrpdqs,A Fences(Plot/Survey/Footage) <br /> Driveways-Noiover cqunter if oh p4biic'-r667dways..666ds ROW <br />