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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> rrrrrrrTT....... ....... 1111M= <br /> Owner's Name Soils - I Owner Phone Number f,3-,3n 5 <br /> Owner's Address Owner Phone Number <br /> rOwner Phone,Number <br /> JOB ADDRESS ap Avc LOT# C� <br /> SUBDIVISION L Pl('O q,& PARCEL ID# wo -VIPs" <br /> 41 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK bzck t- t&�X_ <br /> BUILDING SIZE SO FOOTAGE[::[R 7tef HEIGHT r <br /> �4 <br /> =BUILDING 1$ A4"�o I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL 1$ -A— <br /> ] VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> iqg�r DORM WVxD <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address tT S License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly LN__J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> OTHER COMPANY <br /> SIGNATURE F REGISTERED _J FEE CURREN LI±N <br /> Address License# <br /> HHHHH+ <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 /> APA:RiIIIII21111111 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,of 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�C666ie_r if"-o'-n' ...' li-c;ro?Oways..needs"ROW <br />