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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 JORkno/o Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> C�==rrT� c . • 5��' Owner Phone Number <br /> JOB ADDRESS LOT <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL <br /> o <br /> DESCRIPTION OF WORK 40/a- A(IAII taldlk <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT L <br /> ........... <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> [S� ELECTRICAL $1 AMP SERVICE DUKE ENERGY W.R.E.C.6—ex <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> Hs I!H N i i i i i i i m Reffm i i i i I Hill i I!III i i i i i im N N i ii i i i i i i i ii i ii i i iitimiii H ii a <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> _J <br /> ELECTRICIAN COMPANYREGISTERED FEE CURREN L11 SIGNATURE IWO _N <br /> Address GJ YL License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED LILL_j FEE CURREN <br /> Address License# F— <br /> MECHANICAL COMPANY <br /> SIGNATURE I REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 7771 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 Plans w/Silt Fence installed, <br /> Sanitary Facilities&I 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&I 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 /> 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 /> Re,roofs if shingles Sewers ---Service Upgrades. A/C., Fences(Plot/Survey/Footage) <br /> Driveways-Not.over Counter If on public rroadways..ne,eds ROW <br />