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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 JAJQwner Phone-Number ` <br /> Ownees.Address • , tPOK 93 Owner Phone Number <br /> Ta -Owner Phone Number <br /> FL JOB ADDRESS �q . :S r ! S 1 J 71[OT# <br /> SUBDIVISION PARCEL ID# e2 -g —00 g,9 1 L 00 <br /> (OBTAINEO-FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = Q DEMOLISH <br /> e. INSTALL e REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER IO <br /> TYPE OF`CONSTRUCTION = BLOCK 0 FRAME STEEL :0 �-- <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT'. <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.-E:C: <br /> =PLUMBING $ e <br /> V <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER , .. <br /> FINISHED FLOOR ELEVATIONS FLOOD.ZONE AREA =YES 'NO <br /> 22 .. <br /> BUILDER &�,MPANY BPf I S Ir/rL <br /> SIGNATURE . REGISTERED Y/ N' FEE REN YJ N <br /> ��tt 9 00 <br /> Address Q r t . � License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N J. <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/-N FEE CURRE' <br /> Address License# <br /> OTHER. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address, License# <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 subdivisionstlarge 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. (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 Sewers Service Upgrades A/C ' Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />