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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> -LL'I................ ::]..Phone Contact for Permitting....F <br /> jj <br /> 11 M3;0=0M3= <br /> Owner's Name J64,iies Owner Phone Number 7/' _OM/ <br /> Owner's Address 04kc,-e.5� Wu v Owner Phone Number <br /> w- Owner Phone Number F_ <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCELIDJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION E2r BLOCK FRAME STEEL <br /> A DESCRIPTION OF WORK e/,00-P Al, �,/,f <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING 'VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS W ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �� U� COMPANY <br /> SIGNATURE� REGISTERED Y/ N FEE CURREN <br /> Address +/ License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY�N J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address —1 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN J <br /> Address License# <br /> OTHER COMPANY -= <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLIN J <br /> Address License# <br /> HHHH! <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/Slit 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 Slit Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all newj� ects.All commercial requirements must meet compliance <br /> proi <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 applicatioln,notatized <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 COUNTER PERMITTING. (co py.,of-contract,required) <br /> Reroofs if shingles Sewers Servic ;Upgrades /C,,: Fences{Plot/Survey/Footage)taga), <br /> Driveways-Not over Counter if on,pUbI?,Toadways..neiitas ROW::') <br />