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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 Nam Owner Phone NumberL- <br /> Owner's Address !�6 l C4 �6_ Owner.Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS °— 5 S I - 5 S n— M3 LOT'# <br /> SUBDIVISION_ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = 0 e DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER. <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL . Q <br /> DESCRIPTION-OF WORK ee TT <br /> BUILDING SIZE SQ FOOTAGE J v HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> s <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED'FLOOR ELEVATIONS. <br /> FLOOD ZONE AREA,. =YES NO <br /> BUILDER COMPANY FkKWX U7 \' <br /> SIGNATURE REGISTERED Y/:N FEE CURREI% /N ., <br /> Address' F License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I Y% N:J FEE CURREh Y/N <br /> Address "License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/"'N FEE'CURREh LLLN <br /> Address License# <br /> MECHANICAL COMPANY SIGNATURE' REGISTERED Y/•.N: FEE CURRE� Y`hN <br /> Address License#,.. <br /> OTHER, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI Y/N <br /> Address License#, <br /> RESIDENTIAL Attach(2)Plot Plans;,(2)sets of Building Plans;(1)-set,of.Ener"gy 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 subdivisionsAarge 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. Requited 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-4 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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />