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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Phone Contact for <br /> Date" 7 1. cp-s Permitting <br /> .............r717TY" <br /> 4C7 <br /> Owner's Name '1 a Owner Phone Number I <br /> Owner's Address Owner Phone Number F <br /> FOwner Phone Number <br /> JOB ADDRESS '57-1 <br /> LOT# C-� <br /> SUBDIVISION PARCEL ID#I& a (o Q1 00jo 61?'200 007,-)l <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER 1244Xw." <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL E::f I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING VALUATION,OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> EVE*CHANICAL 1$ 0 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING F__1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_X1 N J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN J <br /> Address License# <br /> MECHANICAL COMPANY G CD <br /> SIGNATURE REGISTERED N FEE CURREN I WN ci <br /> .2=)'3a aS ;V4.)e_7 '501 <br /> Address Ucense# <br /> OTHER COMPANY <br /> SIGNATURE F REGISTERED LY J N FEE CURREN <br /> Address License# F <br /> HMUHH 111 111 HI1 I-IIIIIIIIHIIIIIIIII <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 wt 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. (AIC 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..needs ROW <br />