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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 7� 9' / :] .Phone Contact for Permitting <br /> Owner's Name � Owner Phone Number <br /> Owner's Address (9( 9 -�<Q- Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS -Z2=i2kL1 ^ LOT it <br /> SUBDIVISION F PARCEL ID# v2 e)f_�Q�b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE _" SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION A® BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Ir , <br /> BUILDING SIZE SO FOOTAGE O HEIGHT <br /> =BUILDING L <br /> VALUATION OF TOTAL CONSTRUCTION <br /> r <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING4$ �fL507 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS F <br /> FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE EGISTIERED Y/ N FEE CURREN /N <br /> Address License# 9 to S <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Ly <br /> /N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN <br /> Address L 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 of Attotney'(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER:PERMITTING' '" (copy of contract requited) <br /> Reroofs if shingles 'Sewers Service'U,pgrades,,A/C,, <Fences(Plot/Survey/Footage) <br /> Driveways-Not over.Counter'if on"putilic°toadways,.needs ROW <br />