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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 /> T=� <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number L <br /> Owner Phone Number <br /> JOB ADDRESS aw"S 0 ot.&Z!:, 101. <br /> SUBDIVISION PARCEL ID#[_ I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK YJ tl&vt kNik�tr_ �'v C_ 101 , 'tbtaA I L f <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING (2 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING r- <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 7 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN <br /> RE F _J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L Y/ N FEE CURREI, Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE C5_RREII LZIN J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y1 N I FEE CURREh L_YLN J <br /> Address License# F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 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 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 wl 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 /> I1;�C4t4414 '11:P14:P44444444444�"I 4444444444444wri ....... <br /> 4 - ---- ------ ---- <br /> D loins: <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 COUNT'ER PERMITTING ' - ,-(copy of contract required) <br /> Reroofs if shingles Sewers Servibb-Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if-bri,piublic roadways;-.heeds ROW <br />