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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received19r+ phone Contact for Permitting <br /> Owner's Name C= 7• {� Y 0J) O.wneuPhone..Nurtiber <br /> Owner's.Address '! 3 �� GI+� Owner.-Phone Number <br /> ebyv)c) Owner Phone•Number; <br /> JOB ADDRESS 2- LOT <br /> SUBDIVISION �: PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX'NOTICE) <br /> WORK PROPOSED NEW CONSTR. ; : ADD/ALT C�., SIGN, [� Q ., DEMOLISH <br /> e INSTALL �. REPAIR <br /> PROPOSED USE Q SFR COMM,� �. OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK <br /> ^ "FRAME STEEL <br /> DESCRIPTION'OF WORK �'�� 9 121Z� G�sS JV S r op <br /> BUILDINCrSIZE r SO FOOTAGE L �, HEIGHT <br /> =BUILDING VALUATION OF T.OTAL.CONSTRUCTION <br /> =ELECTRICAL AMP:SERVICE. Q DUKE'ENERGY 0 W:R:E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTAL•LATIOW <br /> =GAS Q ROOFING [�. SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE=AREA DYES NO. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/. N FEE CURREN <br /> Address License.# 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 CURREK <br /> Address 71 License# �- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1, :Y/,N:. FEE CURREN <br /> Address License,# 17 <br /> t OTHER COMPANY <br /> SIGNATURE t� REGISTERED Y.,/.-N. F E CURREN „Y/,N_... <br /> Address O b7 N1 �Q L ..License# ;99 I1 I9 S <br /> RESIDENTIAL Attach;(2)'PIoVPlans;:(2)sets'of.'Building,Plans;.(1)set of:Energy,Forms;,R-O-W, ,Permitfor=new;construction, <br /> Minimum ten(10)working days after submittal date. Required'onsite;Construction•Plans Stbrmwater-Plans w/=Silt Fence:installed,' . <br /> Sanitary Facilities&1 dumpster;Site Work Permit-for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus alifeSafety.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:F.ence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)aets of�Englneere6Plans. <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(PlottSurvey/Footage) ' <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />