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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date R*.alved Phone Contact for Permitting <br /> Owner's Name ( r r) . ( � /�Z Y Owner Phane.Number 70/" ��'�'2�y ( 1 <br /> Owner's Address, 3zi Kits ��b1 Owrner.,Phone Number <br /> �! Owner Phone Number: . <br /> JOB ADDRESS LOT'# <br /> SUBDIVISION ` tw`",el) i 4uaz PARCEL ID# 2(4_Z(0~ Z J_0t60-00000`1ZqC) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR•8 ADD/ALT � SIGN = 0, DEMOLISH, <br /> INSTALL REPAIR <br /> PROPOSED USE,. �. ::SFR. Q COMM = OTHER. 71 <br /> TYPEEOF CONSTRUCTION 0 BLOCK Q ':FRAME - 0-. STEEL 0 <br /> DESCRIPTION;OFWORK � ` .4) 1,Te I e A-11 c< IZ IZ' <br /> BUILDING SIZE DOTAGE Z� HEIGHT <br /> =BUILDING' . $ c-�� VALUATION OF TOTAL CONSTRUCTION <br /> �l�.J <br /> =ELECTRICAL. $• AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION- <br /> =GAS Q ROOFING Q SPECIALTY u OTHER <br /> FINISHEO.�FLOOR.ELEVATIONS (� FLOOD'ZONE AREA:, ' =.YES. NO <br /> BUILDER COMPANY. <br /> SIGNATURE REGISTERED Y/,N FEE CURREM1 1 Y_/N _ <br /> Address' e`s License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREM1 Y J N <br /> Address 'License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/.,N FEE CURREM1 LYIN J. <br /> Address License#'F <br /> MECHANICAL COMPANY <br /> SIGNATURE? REGISTERED Y/;N'. FEE CURREM1�Y'J'N <br /> Address: Licens®#- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUR�RE"N <br /> Address License#. I . <br /> RESIDENTIAL 'Attach(2):jPlot,Plans;,(2).sets.of Building Plans;(1)setOf.Energy.Forms;-R,O-W Permif for new construction,: <br /> MinGrium ten:(-0).working days'aftei submittal,date:••Required onsite;,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)_workingdays,after submittal date. .Re9uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities&1 dumpster.Site Work Peftnit 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. (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 />