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813-780-0020 City of Zephyrhills Permit Application Fa*813-780-0021 <br /> Building Department <br /> Date Received <br /> -Phone Contact for Permitting <br /> .......rT= ........... <br /> Owner's Name Owner.Phone Number <br /> Owner's Addressl!:ian' !t . j I t)-Q-r- C Owner,Phone Number <br /> Owner Phone Number, <br /> JOB ADDRESS F LOT#q +bLt Laid' <br /> SUBDIVISION F PARCEL IN I 1S QS benm n�_ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN. Q Q DEMOLISH <br /> e ,INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM L.J OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> • 'k, ' <br /> DESCRIPTION OF WORK 1A I flv�e_ Lo b <br /> IF <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE DVKEENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> 402— <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Hviiii96................./�...... (A..................... ......... ..... <br /> BUILDER COMPANY <br /> - <br /> SIGNATURE REGISTERED T(-V, N FEE CURREN Y N <br /> License# V, "/t 0319,Address jai 3�4 IID <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN LILN-_J,- <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED _LN_j FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 , Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY 1 -1 <br /> SIGNATURE REGISTERED Y N FEE CURREN LnN J <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;.(2)Sets of Building Plans;-(I)set of.Energy Forrns;�R-O-W Permit for new'construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans;Stormwa.ter Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsAarge 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-(I 0),Working-days after submittal'date. Required onsite,Construction Plans,Stormwater Plans'w/Silt Fence installed, <br /> Sanitary Facilities A 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 111111 <br /> D='OnSl: <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 r(copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurveyiFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />