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c 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. MC—I Owner Phone.Number S 2 <br /> Owner's Address I l� 1 C. V Owner..Phone Number L— <br /> Owner Phone Number. <br /> JOB ADDRESS O I D Cg WA Lf LOT'#' <br /> SUBDIVISION �— PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT = SIGN = Q. DEMOLISH, <br /> INSTALL REPAIR <br /> PROPOSED USE- ­SFR 0 : COMM 0 OTHER. I `&N <br /> TYPE,OF CONSTRUCTION, = BLOCK 0 '-' FRAME STEEL Q <br /> DESCRIPTION;OF WORK FToo'f+ 5s. V) L, 6--, P c E <br /> BUILDING SIZE E — 7 SQ FOOTAGE HEIGHT b i <br /> =BUILDING . $ Z 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 /> =GAS Q ROOFING = SPECIALTY LJ OTHER <br /> FINISHEO',FLOOR ELEVATIONS FLOOD ZONE AREA., =.YES. NO <br /> BUILDER COMPANY, =FILAfJCAS ' 1A1?6/ram-JT k D&JA L rC-PC4 <br /> SIGNATURE REGISTERED I Y/_N FEE CURREh LY/•N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/`N FEE CURREN <br /> 'Address : License#<� <br /> MECHANICAL COMPANY <br /> SIGNATURE;' REGISTERED Y/,:N , FEE,CURREP <br /> Address, - License#-,17 <br /> OTHER . COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh <br /> Address License#,.� <br /> r <br /> .. <br /> RESIDENTIAL Attach,(2)_Piot•Plans;•(?)sets of Bullding.Plans;(1).set,of_Energyforms;R=0-W,Permitfornewconstruction, . <br /> Miniinurri ten•('10)workingAbys'after submittal:date:-RequiredFonsite;'Construction-Plans;.Stormwater Plans w/Silt 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 durnpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach,(?)sets of Engineered,Plans. <br /> ""'PROPERTY.SURVEY required for all NEW construction. <br /> D(reet(ons: <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 /> Reroofs if shingles Sewers Service Upgrades A/C "Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public road" s..needs;ROW <br /> R I <br />