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'813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received C7�� f Phone Contact for Permitting — 1 f 2 <br /> Owner's Name rV'7 ea ! 4 Owner,Phone Number -7 <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number ,C� <br /> JOB ADDRESS 7( � r (ZJ <br /> I LOT#' <br /> SUBDIVISION �— PARCEL ID# r_� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK P.,f20POSED NEW CONSTR ADD/ALT SIGN = 0, DEMOLISH. <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE-, Q. ;,SFR•• = COMM u OTHER;. <br /> TYPE`OF CONSTRUCTION:, BLOCK Q :': FRAME _ Imo!• ° STEEL .0 <br /> DESCRIPTION%OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING` . $ VALUATION OF TOTAL CONSTRUCTION <br /> ['ELECTRICAL. $, �. AMP SERVICE /Z{� DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION° `I <br /> =GAS = ROOFING = SPECIALTY OTHER <br /> FINISHED'FLOOR ELEVATIONS FLOOD.,ZONE-AREA, =.YES , NO <br /> BUILDER COMPANY, <br /> SIGNATURE REGISTERED I Y/_N F. FEE CU(RREN, .1 Y/N <br /> Address' License# I <br /> ELECTRICIAN MPANY i�� V. <br /> _ <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> / • S, /�✓ 'License# GX� <br /> Address- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 'Y/'N FEE CURREt` <br /> Address License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE;' REGISTERED Y/.'N'. FEE CURREN <br /> Address, License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CU(RRE_ 'Y/N <br /> Address License#;I <br /> RESIDENTIAL Attach,(2}•Piot Plans;,(2}sets of.Buildin4 Plans;(1),set,of,EnergyForms,R�O,-W Permit for new construction,,,`. <br /> Minimum ten�(10)working days`after-submittal:date:•,Required=onsite;Construction Plans;-Stormwatei 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 aftersubmittal date. Required.onsite,Construction Plans,Stormwater Plans w/Silt Fence installed`, <br /> Sanitary Facilities&_'f dumpster:Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach,(2).sets.of EngineergO.-RIans. <br /> ` `> <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)orPower of..Attarney.(for.:the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER_ PERMITTING '. ':C>?(c"opy'ofrcontracfregtilred) <br /> Reroofs if shingles Sewers ;-,;.`Se'ivic'e Upgrades{A/C.`. :}Fences(Plot/Survey/Footage) <br /> Driveways-Not over,Co4nter;'if•onipUblic:r6ad'ways:needs'ROV. , . <br />