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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> /0/P--�A Phone Contact for Permitting FA 73o- <br /> I I I I-rTT=Owner's Name A11,16V 1006le e� Owner Phone Number <br /> Owner's Address Le.4(1(, Owner Phone Number <br /> A1,11s, gi xoy� _ Owner Phone Number <br /> JOB ADDRESS A/i Ad, LOT# <br /> SUBDIVISION PARCEL ID# OA 9 G —19 1— 10010— 0C/5-90 — 0000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK A 1?e t,( ( <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE a2f DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY c Ae�4 (vo Al <br /> SIGNATURE REGISTERED lal N FEE CURREN Iff2l N Address License# F6 coo /02 h 4P <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address —1 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L_Y_LN_j FEE CURREN <br /> Address 7 License <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_yj LNJ <br /> Address License# <br /> HHHHt HHHMHHHHH HHHH HHHHHHHH <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 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. (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 />