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81-3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Phone Contact for Permitting 9 13 <br /> Date a <br /> rTTT7= ...... .............Mrl"" <br /> "'i Received Owner ...... <br /> Owner's Name er Phone Number -32*8 1 <br /> Owner's Address Owner Phone Number F- <br /> Owner Phone Number <br /> JOB ADDRESS LP LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE S' FOOTAGE 0 1-/ HEIGHT <br /> .................... <br /> ^RMBUILDING LIM I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> 1 <br /> =PLUMBING 1$ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> HH"HHHHHHHH! <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License J <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <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 /> ---------- <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 /> would qq�,�pTpone with notarized letter from owniat-authorizing same <br /> Agent(for the contractor)or Power of Attorney(for the o1rff),1:'. <br /> -7 <br /> OVER THE COUNTER PERMITTING {copy qf.,Rnk4ct,,re q- <br /> Ulred) <br /> Reroofs if shingles Sewers Service NC�,i,,-��,-,,Fen66s�(P[6y§urvey/Footage) i <br /> Driiveways=Not over Counter if on public,rd'A'd'w*'a'v's"..n"eeds,RQW, <br />