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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recet'ved J <br /> Phone Contact for Permitting F <br /> .............1. ......... 1 117......... <br /> Owner's Name Owner Phone Number <br /> Owner's Addressl ,3 3 Ze4 1A Pe-/ ly4m AA-0 Owner Phone Number <br /> 41,c�tU5 Owner Phone Number <br /> JOB ADDRESS f4�,A t-d Al giA r-k D� , LOT# <br /> SUBDIVISION PARCELID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE Q SFR F__1 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING 1$ *Z, <br /> MECHANICAL 1$ c <br /> VALUATION OF MECHANICAL INSTALLATION <br /> o C <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i i V i M i i i i M M M 0 9 1 1 1 1 i 0 1. 1 1 1 1 1 1 1 1111 1 1 1 111 1 1 1 1 1 1 1 1 1 111 H!N i l 1 1 i l 1 1 11 1 1 1 i 1 i 1 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_yj N_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly �N�,S-3 1 <br /> Address License# ICA 4 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED _J FEE CURREN LILN J <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 w/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 w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for 811 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. (A/C upgrades over$7500) <br /> Agent(for the contractor).or Power of Att:6T66yffor-the owner)would be someone with notarized letter from owner authorizing same <br /> y 'OVER THE COUNTER PERMITTING ,,�(cop of;": q:66ritrac uirq. <br /> 7 <br /> �� ­ 1 , <br /> Reroofs if shingles Sewers Sbivice-Upgraide�s:Zt"re C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if 611 pUblic-roadw­a_y`p, n'6.eds'RO,. <br /> -6, <br />