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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 Permi ing - <br /> Owner's Name Owner hone Number <br /> Owner's Address 3 20 Owner Phone Number <br /> CAM 3,36ZI Owner Phone Number <br /> JOB ADDRESS F?5-63cn-lcwvih P J• LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN E = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER - <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK i9rY e na CLnci Q_"inoR .. <br /> ' ^ Q( <br /> BUILDING SIZE -e SQ OOTAGE yZ W HEIGHT p <br /> BUILDING $ Q� VALUATION OF TOTAL CONSTRUCTION <br /> CJ -� <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION- (1 I V <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER (�7 COMPANY V�®°a'e�5 JlTi_- C©r-P ---- <br /> SIGNATURE /n�-. __ p REGISTERED Y N FEE CURREN N <br /> Address -7 O� _5.� LCjmor %Aw_ IFj1` u) SV\ 1�' License# �S " o 0 i <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 <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED _ Y/ N FEE CURREN Y/N - — <br /> _—Au'dessLic`ense`#--- - — — -- - - <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 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 Couriter if on public roadyyays..needs ROW,. K^ <br />