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813-780-0020 City of Zephyrhills Permit Application Fax-817 I/ <br /> Building Department <br /> Date R�eived' i�j <br /> .Phone Contact for Permitting <br /> Owner's Name LU Owner Phone Number 0 �� <br /> Owner's Address S- `i el f i �v� S r, I�]S`I Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS r LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Qn BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK fZ-e_ (z-c)O- \n t j q e>.-) cl (+rz_/�,C <br /> BUILDING SIZE 7` 3 SQ FOOTAGE HEIGHT <br /> BUILDING $• VALUATION OF TOTAL CONSTRUCTION <br /> 1 6 4v . <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ —f7 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �J <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER _ �1 COMPANY % -e- UN �- <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN Y/N <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_J FEE CURREN <br /> Address 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 <br /> Address I License# <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(forth'e owner)would be someone with notarized letter from owner aum-0-iing'same <br /> OVER THE COUNTER PERMITTING '"'(copy of,contract required) , <br /> Reroofs if shingles Sewers "`'Service'lJpgrades.A/G.'. Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter iF ri p'u6lid roaaways..needs ROW - • _ . , <br />