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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Zr-/-n, Phone Contact for Permitting z ............. <br /> ........... a� <br /> Owner's Name CSIIU�� 4-7,1. Owner Phone Number ?C;?t <br /> Owner's Address I36a3s­. 9 Y-/ Owner Phone Number F <br /> F_ Owner Phone Number <br /> JOB ADDRESS 9 X-/, LOT# <br /> SUBDIVISION PARCEL ID9 0 OC 00 10 0 ,?)007 cQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRE] ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> []MECHANICAL Vgo I VALUATION OF MECHANICAL INSTALLATION <br /> e v <br /> =GAS Q ROOFING F__1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS —7] FLOOD ZONE AREA =YES NO <br /> !"HHHH <br /> BUILDER COMPANY_ J <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_X1 N J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_ILN J <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN Ljoy N_f <br /> Address Z Cl/ License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# <br /> h4-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 /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities-&I dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-C-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 /> - -- --------------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 Sewers-. , Service Upgrades,-AJC,-- Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..nieds ROW <br />