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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date keielkired Phone Contact for Permitting <br /> .............. <br /> Y'13-7,7,�)"Y2P <br /> 4q P1/7 r <br /> Owners Name Owner Phone Number <br /> Owne.r*s.Add'ressl 6 Z 3 5- 611,11ekletv Dir Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS -LOT# <br /> SUBDIVISION 4 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM = OTHER I <br /> TYPE OF-,CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTI <br /> ON OF WORK ly eJ4, <br /> BUILDING SIZE F FOOTAGE[= HEIGHT tY ' <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY Q W:R;E.C <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES Na. <br /> r A <br /> BUILDER COMPANY 4" <br /> X [— <br /> SIGNATURE -REGISTERED I YtN;,' FEE CURREN <br /> Address 1_ff11(1q S7 License# I <br /> ELECTRICIAN COMPANY <br /> REGISTERED Y/ N FEE CURREN Ly N <br /> SIGNATURE L__j <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L)L1�N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED. Y/-N FEE CURREN LY, N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN <br /> Address• License# F_ <br /> RESIDENTIAL Attach,(2)Plot Pla I ns;.(2)sets of Building Plans;(1)set of Energy Forms;,R-�O-W Permit for new construction, <br /> Minimum ten(10)working days after t submittal date. Required onsita,Construction <br /> onstruction Plans;Stormwater Plans w/Slit 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 /> ............ <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. (AIC 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 Service Upgrades Fences(Plot/Survey/Footage) <br /> Driveways-Not over Count6elf orfOublic roadways,.1716eds,ROW <br />