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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiv,ed - (f)?—I f_ Phone Contact for Permitting <br /> J. . .......... I <br /> Owner's Name V l Owner Phone Number <br /> Owner's Address E� Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS l -7 '30& i c P=r LOT# <br /> .as <br /> SUBDIVISION nu Gt'-4o PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> U _rr <br /> DESCRIPTION OF WORK L _jA c <br /> BUILDING SIZE SQ'FOOTAGE HEIGHT <br /> ----- ----- <br /> I WLDING VALUATION OF TOTAL CONSTRUCTION 0 <br /> =ELECTRICAL AMP SERVICE 1Y <br /> DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i i i R i i I i i i i M N i 1 1 t 1 1 1 1 1 1 i I i i i i i i i 2 1 i i i I I 1 6 i i i i 2 i i s i i i I I 1 6 i i i i i i M M M i i i i I i i i i i i i <br /> BUILDER COMPANY 't <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 93 S-q <br /> ELECTRICIAN 3 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREIN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_j <br /> Address _7 License# F- <br /> MECHANICAL COMPANY L_ I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N-i FEE CURREN Lyj N__J <br /> Address License# I I <br /> !HHHH HHHHHHHHH Him!!HHHHH!HIIH I I H-f-I If HHH! <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&I 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 /> ................. <br /> ==s: <br /> D tic, <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 COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways...ne6ds.ROW <br />