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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Re;c �it q N <br /> ! r � .Phone Contact far Permittin <br /> Owner's Name QO W eOvJ e r Owner Phone Number 13^ 6 O 3^ 7 9 <br /> Owner's.Address Owner Phone Number �— <br /> Owner Phone Number <br /> JOB ADDRESS 5 Sal J 61%11 Bid ze&41.jJ :0 94• .3 3 51/2 -LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 8 ADD/ALT EK SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF',CONSTRUCTION Q{}- BLOCK 0 FRAME STEEL Q <br /> DESCRIPTION OF WORK µ rti e, (Prv�M . U-acr Me <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING I$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY W.R E.C. <br /> PLUMBING $ 5 00 p <br /> 17 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES - NO. <br /> BUILDER COMPANY . <br /> SIGNATURE REGISTERED Y/ N`'' FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# �— <br /> PLUMBER � -�y COMPANY 'S l itirrl i7 tj rf LC• <br /> SIGNATURE �^ REGISTERED N FEE CURR Y/N <br /> Address 373!`� !tn.&er Z (ff.,�lJS a. 335 ( License# 5!FC 14?'7` J5 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED. LYL N_j FEE CURREN -,Y/.N <br /> Address License# �— <br /> OTHER COMPANY. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LjjN <br /> Address License# F_ <br /> RESIDENTIAL Attach.(2).Plot•Plans;.(2)sets of Building Plans;(1)set of Energy Forms;,R-'O=W Permit for new construction, <br /> Minimur'n'ten(16)working days after sUbmittal date. Required onsit&,Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities 8,1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)`•oniplete sets of Building Pans}plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum.tan(10)working days after submitt4date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanita`ry'Facilitib's&1 dumpster.''Site Work Permit foreWriaw,projects.Ail 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 /> Reroofs if shingles Sewiers .. "Service—Upgrades..A/C.........Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.:npeds-ROW; <br />