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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name / 42W, Owner Phone Number <br /> Owner's Address w f- Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 8 D 3 / 010AI/• LOT# <br /> SUBDIVISION �� lJi�/� PARCEL ID# 3S'.�.s 'Po0 0-O 0P <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME <br /> / = STEEL 0 <br /> DESCRIPTION OF WORK tEN2 D"er l9AJ /i'/N ��Or— /SQ ex- D,�)/' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ='EUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS O�/ ROOFING. = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES 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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address Lice//ns��e# <br /> OTHER COMPANY /% <br /> d SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 1343 0646r 4,l f ---(, License# Ruovo-Y/ <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/Silt 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 /> 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)'of Powerof,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(Plot/Survey/Footage) <br /> Driveways-Not.ove_Counter.if:Ori.pubJic_rpadways.:rieeds ROW <br />