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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 /> ......... ......rrrrTT73!rrllrT=..... <br /> Owner's Name Owner Phone Number <br /> Owner's Address 3 ,WJ' 1/5_1 Z, <br /> Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCELID#1 06WO —AISV <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> R. INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME u STEEL <br /> DESCRIPTION OF WORK A0 ig�C_91164 e PA,— w,�,* /)IV-1)'AIJI <br /> BUILDING SIZE SO FOOTAGE= HEIGHT 1 <br /> ........... <br /> UILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS E� � ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE . REGISTERED Y/ N FEE CURREN LILN_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 777 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address E:�,6 License# <br /> _Hi ol,!it Hill! 111 H 11 1 H 2 1 H <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 wl 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 /> H 1 1111111114441!1 1 111 11 14:W ........... 1­441111111 1 Ell 1111 1;111 1;;;1;111 if 114444 <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 <br /> `(copy co-ntf6tt`re0uired)­ <br /> ., ­ <br /> Reroofs if shingles Sewers Service Upgrades'-AX -.t'F66ces,(Plot/Survey]Footage) <br /> Driveways-Not over CoLin,!er if on.publi!c - 'eBds%ROW:--- <br /> .,roa ways..h <br /> 0 <br />