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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received C� _ ( C Phone Contact for Permitting a 3 -- 5 ,57v <br /> Owner's Name LL Owner Phone Number <br /> ?2 ea�(JtJ n -c Owner Phone.Number <br /> Owners AddressF3 9 <br /> r A Owner Phone Number <br /> JOB ADDRESS FAD 0.04 LOT# <br /> SUBDIVISION PARCEL ID# f oC V'Q OnO a elLDS a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> e. INSTALL e REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION. BLOCK = FRAME = STEEL 0 <br /> DESCRIPTION OF WORK Qti a <br /> BUILDING SIZE SQ FOOTAGE HEIGHT, <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 � O,Oc7 • <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> 1 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES -Ne— <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N' FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 <br /> Address License# <br /> OTHER COMPANY <br /> a SIGNATURE REGISTERED N FEE CURREN /N <br /> Address t'G _xp 7,R2. c.I k-z-le, _ 3 :39)6, License# � C, 3 -3 /3 S- Zt <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 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 /> Directio14 ' ns: <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 /> Reroofs if shingles Sewers Service Upgrades 'A/C ... FenGes(Plot/Survey/Footage), <br /> Driveways-Not over Counter if on public roadways.;needs RO1IV. ; <br />