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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> C <br /> Date Received Phone Contact for Permitting <br /> U.AAAJ.LI....... .............r= .......... ........... <br /> Owner's Name � Yam- Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS Cyn LOT# C>7 <br /> SUBDIVISION ef n PARCEL ID#1 05- Q 1 C)0'00 01,J C <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FQ FRAME STEEL <br /> DESCRIPTION OF WORK ev r—t-a— <br /> BUILDING SIZE F_ SQ FOOTAGE= HEIGHT Iv. <br /> ......... 444 <br /> E!%6UILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING r— <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> CO <br /> MPANY OMPANY <br /> SIGNATURE . REGISTERED N1 N FEE CURREK Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_yl N J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LZI N J <br /> Address License# <br /> HHHHO HHHi I I I I I I I I i I I I H7f HHHH 1 HH H! HH1HHH <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of i Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. <br /> ate. Required onsite,Construction Plans,Stormwater Plans W/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdi0sions/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 /> 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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING Copy of dbritract•required) <br /> -Upg-ra es.-A/C ....Fences(PlottSurvey/Footage) <br /> Reroofs if shingles Sewers erVide d <br /> Driveways-Not over,,,'Counter,if on pu6li6'rbadways:-.neads ROW <br />