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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 /> M I I�Iri!II III.I......... <br /> Owner's Name Q Wlov Owner Phone Number <br /> Owner's Address A 1 cjj V' Lf PV Owner Phone Number <br /> AM; Owner Phone Number <br /> JOB ADDRESS A^L bk QI VA Cr LOT <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ AMP SERVICE r—;zm <br /> DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ � <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# 7— <br /> ELECTRICIAN -�='� COMPANY eyec�klc- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j <br /> Address F- I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> I-H I I I I I I ft I I I I I I I I I f+ <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 wl 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,al[NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,.o Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the!.contrac'tor)!"8�150wer-of.A4orgey(for the owner)would be someone with notarized letter from owner authorizing same <br /> 'WG'; quire <br /> OVER THE COUNTER PERMITT 4��boy,of corilpIct rd I d) <br /> Reroofs if shingles Sevhbrs S'6rJi6e-.Upgr',*18e-'s'-'-*C,,, Fences(Plot/Survey/Footage) <br /> N�t-6�i�cc <br /> Driveways- untertf.cn_.'Oblid"roadways,.,he'e'cfs ROW <br />