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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> red Q '( Phone.Contact for Permitting S V .� <br /> Jwner's Name ( : d L. '1 I-S Owner Phone Number <br /> Owner's Address 9 3 3 t 9""' A !ir Owner Phone Number <br /> Owner Phone Number V (! <br /> JOB ADDRESS �ol A r( r r o j LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = Q, DEMOLISH.... <br /> n INSTALL B REPAIR <br /> PROPOSED.USE Q SFR ® COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q ' : FRAME 0• - STEEL <br /> DESCRIPTION:OF WORK Ff/wtt 3 93 Sf <br /> c q <br /> BUILDING SIZE SQ FOOTAGE 3 S3 <br /> HEIGHT <br /> BUILDING $�� — 1\ a) VALUATION OF TOTAL CONSTRUCTION <br /> Y V l <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ /)/Coe, <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 6�S <br /> �~ =GAS = ROOFING ,Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS, FLOOD ZONE AREA,: '.=YES NO <br /> BUILDER COMPANY LeO�W CO.n%rpJvf 1 h� <br /> SIGNATURE REGISTERED Y/..N FEE CURREN Y/N .- <br /> Address' v P/`1 To n R 3 T 6 b 67 License# G # <br /> ELECTRICIAN F*L <br /> , COMPANY �7fST l�SIGNATURE 0 4 REGISTERED Y% N, FEE CURREN <br /> Address UUh IIN� License# C d 00 2-57 <br /> PLUMBER COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE'CURREN Y/N ' <br /> Address. F License# <br /> MECHANICAL . COMPANY <br /> SIGNATURE REGISTERED Y/�.N_ FEE CURREN <br /> Address License# . <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREII <br /> Address License# <br /> RESIDENTIAL Attach,(2)Plot Pians;_(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 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 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 req"uiretl) <br /> Reroofs if shingles Sewers '; i•Servlce Upgrades kC',`. Fences(Plot/Survey/Footage) <br /> Driveways-Not over,Counterif:on:publid roadways:needs-ROW r <br />