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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 /> .. .... rLTrrrrirrrrrrin.....,.......I ........ <br /> umber _', -T <br /> 5 Owner's Name arwnc LQ&) Owner Phone er umb <br /> Owner's Address QA vA Owner Phone QNumbeer <br /> 21 Owner Phone Number <br /> JOB ADDRESS 5'Y57 4W LOT# <br /> SUBDIVISION PARCEL ID#I <br /> N OM ERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/AL T/ =IGN DEMOLISH <br /> e INSTALL REPAIRk,..� <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Z6&Lft <br /> BUILDING SIZE dFOOTAGE HEIGHT ye <br /> BUILDING pa 0:4 CZ VALUATION OF TOTAL CONSTRUCTIO <br /> ` =ELECTRICAL AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ 965� <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER 3 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> ........................ <br /> BUILDER COMPANY <br /> SIGNATUR REGISTERED Y/ N FEE CURREN Ly/N <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LI.LN J <br /> Address License# <br /> PLUMBER COMPANY L <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY i <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# I- <br /> H!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 subdiVisionsfiarge 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 /> ------------S. <br /> D on <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 /> Agent(for the contractor)or Power of.Att(?mpy,(for the,ovVh6r.).WO'uId be someone with notarized letter..from,,owner authorizing-same <br /> 6 OVER THE COUNTER PERMITTING' <br /> Reroofs if shingles Sewers A/C",., e'nces(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on publicroadways_ne'ed's`ROW, <br />