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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact�for Permitting <br /> ............. ........ .. .... <br /> Owner's Name Owner Phone Number <br /> Owner's Address 1,21 Owner Phone Number <br /> `S, Owner Phone Number <br /> F <br /> JOB ADDRESS U 101 LOT# <br /> SUBDIVISION PARCEL ID# ?I-01 2-D- 00 0(Do- J2J5n <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE,OPCONSTRUCTION BLOCK E:] FRAME STEEL <br /> DESCRIPTION OF WORK 15r-V)n i� J-1 Q)ID-C <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> ............ <br /> BUILDING n A6 0 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.'RE.0 <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO- <br /> i <br /> -7'X;f........ . <br /> BUILDER COMPANY <br /> SIGNATURE . REGISTERED Y N',:, '.^FEE CURREN Y N <br /> Address License# <br /> ELECTRICIAN -COMPANY <br /> SIGNATURE REGISTERED Y/ N I ' FEE CURREN Ly <br /> L N_J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N_J <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN d Y/N <br /> Address License# r <br /> OTHER COMPANY. <br /> SIGNATURE REGISTERED Y/ N FEE,CURREN LILNLJ <br /> Address License# <br /> HHHH 111H. I I i I I I I I I m I H I I I I I I H H I I I I I I H I I I I I I i H I I I m I I I I!'I <br /> RESIDENTIAL Attach(2),Piot.Plans (2)sets of i Building'Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsit6,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary F�qcilffies&1 dumpsteir,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2Y 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&I 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 /> i= - ----- -- ................ <br /> 0711111111411111 1 11!11111!S: <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 Sewer'7 1'_1­ Service UporadesA1,q.. Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadway*s..needs ROW <br />