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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 /> Owner;'s�Name �� Owner^Phone Number <br /> Owner's;Address 64iLe, Owner Phone Number . <br /> Owner Phone-Number <br /> JOB ADDRESS �Ja�I 5 �I /d 55 r ! I LOT# -� <br /> SUBDIVISION PARCEL'„ID# 02` _a- -40 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) - <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL 8 REPAIR <br /> 'PROPOSED USE ' Q SFR 0 COMM = OTHER <br /> TYPE OP ONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION:OF WORK {� r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTIO <br /> ELECTRICAL $ p AMP SERVICE ,i DUKE ENERGY Q KRsE C. <br /> / U <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> v <br /> =GAS = ROOFING 0 SPECIALTY = OTHER � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO.,.. <br /> BUILDER COMPANY <br /> SIGNATURE , REGISTERED Y/'N.- .•.`FEE'CURRES <br /> Address C License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE /l REGISTERED', Y/ N FEE CURREN Y/N <br /> Address lG / License# 'L �2 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREV Y'/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/'N' FEE CURREI%� Y,/,N. <br /> Address License.#. . <br /> OTHER COMPANY <br /> i SIGNATURE REGISTERED Y/ N, FEE CURREN <br /> 9 <br /> Address Licens #e; <br /> RESIDENTIAL Attach:(2):Plot Pl- nft,;(2)sets,of:Building Plans;(1.)set of Energy Forms;.W'O-W..Perm it,for new construction,:; <br /> Minimum ten 00)working days aftersutimittal date. Required onsite,Construction Plans,.Stormwater Plansw/•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. (AIC 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 />