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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 3 �V <br /> Owner's Name '1'1�Y Owner Phone Number �� 1 <br /> Owner's Address1 !��C Owner Phone Number <br /> •Owner Phone Number <br /> JOB ADDRESS ISM Sr(- *ts LOT#- <br /> SUBDIVISION PARCEL ID# (fO��t <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW �-�f CON � ADD/ALT 0 SIGN = 0, DEMOLISH„ <br /> INSTALL REPAIR <br /> PROPOSED USE, 0. SF,R 0 Comm Q OTHER. <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME 0,. STEEL u ►h k <br /> DESCRIPTIOMOF WORK l �l e ✓ Lo- to IX -56pce^ sldz, pjy_ <br /> BUILDING SIZE l 5r Kai / SO FOOTAGE ��� HEIGHT <br /> BUILDING is A �r VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ( AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS, . FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY I mayw G <br /> SIGNATURE ' REGISTERED Y/:N FEE CURREN YJ N <br /> Address' '-( d w Lwl cat. v-7z License# I C/C,13Dtt Lo 31 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N. FEE CURREN Y/N <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 CURREN <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.Ehergy Forms;R=O-W-Permit for new construction, <br /> Minimum.ten'(10)working days after submittal-date: Required onsite;Construction Plans,Stormivater Plans iv/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.(1 0)-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 publio'roadways-needs ROW <br />