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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> o <br /> Date Received Phone.Contact for Permitting {— <br /> V J �t� <br /> Owner's Name I <br /> �� Owner Phone.Number <br /> Owner's Address S . `� l 3 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 3<yOO,-r""' 6 1 4i\ AV-e- LOT•# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = 0 DEMOLISH, <br /> INSTALL REPAIR <br /> PROPOSED USE.- 0. SF.R COMM = OTHER. <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME 0• STEEL = <br /> DESCRIPTION;OF WORK h�l 1 g <br /> BUILDING SIZE SQ FOOTAGE® HEIGHT <br /> =BUILDING $ 0� VALUATION OF TOTAL CONSTRUCTION <br /> ...=ELECTRICAL $ v(J AMP SERVICE Q DUKE ENERGY Q 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 /> BUILDER COMPANY eF Qv(V1 <br /> SIGNATURE f REGISTERED Y/.N FEE CURREN Y/N .. <br /> Address' ( L Li 21 �WIQ l q �1O(J CT ly License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ R FEE CURREN <br /> Address 'License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh " Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/.:N FEE CURREN •..Y'/•N <br /> Address•. License.# <br /> OTHER COMPANY E__ <br /> SIGNATURE REGISTERED Y/ N_J 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 aflersubmittal date:_-Required onsite;Construction Plans,Stomiv+iater'Plans w/Siit 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 ail'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 />