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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 /> C-1 Owner Phone Number Owner's Name 0 41 C-e <br /> Owner's.Address F7 a Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 0 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE Q SFR F__1 COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK F__] FRAME STEEL <br /> DESCRIPTION OF WORK P (,A Ce PC, &0 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I t P i i� W4-444 14� .144 11.1- <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> [E]ELECTRICAL 700 AMP SERVICE DUKE ENERGY a W.R.E.C. <br /> =PLUMBING 1$ � <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i 2 i i i i i i i m m m i 2 i i i i i i 2 6 2 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License <br /> ELECTRICIAN COMPANY On ((;\Q- r­-(ec�b�1( <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_yj N_J <br /> r <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED L Y/ N FEE CURREN LILN J <br /> Address I License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> COMPANY <br /> Y <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <br /> HHHHH 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 /> ............ <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),pr Power of Attamey(for the owner)would be someone with notarized. letter from owner authorizing same <br /> OVER THE COUNTER PERM ITTING0;:1"s L(Copy;qf contract required) <br /> Reroofs if shingles Sewers': 12':Service:.VpgT,1de­'S­ Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter lfbn'public roa ayS:.:ne_eds.ROW <br />