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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 /> Owner's Name S� I*U— + I Owner Phone'Number <br /> _ ];Q�A <br /> Owner's AddressF�0 9 t4) 91) (_-�LQrg'4�_ I Owner Phone Number <br /> Owner Phone Number <br /> E <br /> JOB ADDRESS 7, 125 LOT# <br /> SUBDIVISION PARCEL ID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK P� FRAME STEEL <br /> DESCRIPTION OF WORK �, , -, ,)1 22 I—Oki <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E. .C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $1 ed VALUATION OF MECHANICAL INSTALLATION I I <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_J <br /> Address License# <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 L�N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N- FEE CURREN Y/N <br /> Address License# I C 4 cl�I I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F_ <br /> !HHHH HHHHHHHHHH mi HH HHHH mi!I!I!III*III!mi if!!!Hill!!H.+ HHHHHHHHHi HHH <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 counter if on public roadways..ne.ed6 ROW..' <br />