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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> .........rrTrrr7 rl-2,3 Phone Contact for Permitting <br /> TTTIML�M-M-L= <br /> Owner's Name 6Z Owner Phone Number <br /> Owner's Addressl <br /> Owner Phone Number F <br /> Owner Phone Number F <br /> JOB ADDRESS LOT# 'C � <br /> SUBDIVISION PARCEL ID# C2 —Z -Z —GCOX -e-94W 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED H---'NEW CONSTR F ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> IN <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK E:] FRAME STEEL <br /> r J, <br /> DESCRIPTION OF WORK �A rer o—ir' e'le' c�� <br /> � <br /> 4 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> !I!11111 2 14 WWWW! <br /> ltfCDING <br /> I$ I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> /0"13 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION A)0 <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO G J plava <br /> BUILDER COMPANY <br /> SIGNATURE d <br /> REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# (Ac OVYY-W I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/-N FEE CURREN LILN_J <br /> Address Licenseo* <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# F— <br /> !HHHH I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I R I I I I I M I I I I I I I I I I I I I I I I I <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 subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Bbllding�Plans plus 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 F6cilifies,&Vdump9ter.'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.P9Wer,-QfAttcrney-(for-the owner)Would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER:PERM ITTIN0.-"-:-,),(660yloi contra&,,iii4blriiid) <br /> `�'l Reroofs If shingles ;iSewers Fences(Plot/Survey/Footage) <br /> Driveways-Not over.-Countetif,on:oUb'lt'c":'r-'o"adways..nI eds'ROW <br />