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813-780-0020 City of Zephyrhills Permit Application Fax-813-1bU-UUZ1 <br /> Building Department <br /> I <br /> Date Received Phone Contact for Permitting C/ <br /> Owner's Name Owner Phone Number <br /> :Owner's Address to G/V Owner Phone Number <br /> FL- 3 3 G4 -7 Owner Phone Number <br /> JOB ADDRESS 2 e-eki or vl l l l 5F LOT# <br /> SUBDIVISION PARCELID#F_(OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e <br /> ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> (K) new <br /> DESCRIPTION OF WORK S. Ze- vi"Ws, ir-ew6ld_ I&A"-Onl <br /> BUILDING SIZE SQ FOOTAGE HEIGHT. W <br /> Hiimmsii <br /> =BUILDING 3 5'- VALUATION OF TOTAL CONSTRUCTION jLt <br /> =ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY 0 ER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA Y <br /> BUILDER r)1C COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly L N Address Fkj to,,, Al i i)-o-\ 5-f- lauii, a 33(�4 License# IC(,(- <br /> ELECTk; AN COMPANY <br /> I,GNATURE REGISTERED I Y/ N J FEE CURREN <br /> [-7 <br /> LAddres License# <br /> PLUMBER— <br /> COMPANY <br /> REGISTERED L�_ N FEE CURREN Y/N SIGNATURE L r ss License#Addrqss-1_ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L_Y_L N J FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> HHHH 111412 HHHHHHH HHHHH!H1111111111 HHH HHHHHHH! Hi I!!!HHH HHH III <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&I 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 contract required) <br /> V� . . ­. "A/C <br /> M C-111.1 <br /> Reroofs if shingles Sewers Service Upgrades 'Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public. oa ways..needs ROW <br />