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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivpd Phone Contact for Permitting <br /> .... ................ ............ <br /> Owner's Name F�_M, L6 Owner Phone Number <br /> Owner's Address W l ,2 Owner Phone Number <br /> 2_ Owner Phone Number <br /> F <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID#1 0 - ,031&6 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE Q SFR F-1 COMM OTHER I <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK wix (Dip? aniA a co- UJ(a <br /> BUILDING SIZE F_ SO FOOTAGE HEIGHT <br /> "BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q —SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO , <br /> 1 1 2 a 2 N 1 1 1 1 1 1 2 2 2 1 a 1 1 1 i i i i i 1 2 1 1 1 i i i v i I i i i M M i i i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L)LLN <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 <br /> Address License# F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address LiciA F_ <br /> 0 _ <br /> THER LC COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURRE -- <br /> Address License# rciac I <br /> HHHHH 1!H 111 11,1111 f I!!H!H 111 HHHHH! <br /> RESIDENTIAL Attach(2)l5iot-Plans'(2)'sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wor'kil,16,"days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facffitidi5&1 durripster;Site Work Permit for subdivisions/large projects - <br /> COMMERCIAL Attach(2)complete sets)of'Buflding Plaffs 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 dumpsterSite 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 /> "' 4'- .................. ................. <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 A/C Fences(plottSurvey/Fo6tage) <br /> Driveways-Not over Countdr if.oK public raadways:-.r,!eeds'ROW <br />