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-'S13-7W-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name _ � � Owner Phone Number +� 6 <br /> Owners Address r7g_�J_ L.., CSAca <br /> J Owner.Phone Number <br /> r- ` S 1.. Owner Phone Number <br /> I <br /> JOB ADDRESS d L417# <br /> SUBDIVISION [�o ,Sp,`1 . r� � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSfR ADDIALT Q SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Comm OTHER i <br /> TYPE OF CONSTRUCTION Q BLOCK :3 FRAME Q STEEL Q �— A <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ��-.��tt--��BUILDING $ {� <br /> L�l�! l �(j VALUATION OF TOTAL CONSTRUCTION ; <br /> =ELECTRICAL 1$ � AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL J$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECiALTY_[� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> AtHis imii dim Hill!mi., <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address �J$Y�.7� ` &IN License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CU(RREEN Y/N <br /> Address License# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREEN jI Y/N <br /> Address License# I( <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURR�EN <br /> Address License# ({ I <br /> i <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREP 1 Y/N <br /> Address License# I <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 Pla�s w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Perml� r new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pla S w/Silt Ferice 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. (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 some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />