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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 Jim <br /> W .............. <br /> Owner's Name <br /> Owner Ph- one Number * <br /> Owner'sAddre ss Owner Phone Number Owner Phone Number. F <br /> ILI , P _3`5S_q LOT# <br /> JOB ADDRESS <br /> SUBDIVISION PARCEL ID#1. 60-6076 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW-CONSTR ADD/ALT E_ SIGN, DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK V-0 c,0 e" <br /> BUILDING SIZE C_ SO FOOTAGE= HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = DUKE ENERGY Q W.-R.E.C. <br /> PLUMBING $ <br /> I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0J <br /> =GAS ROOFING SPECIALTY OTHER RX 191�_ <br /> FINISHED FLOOR EL I EVATIONS FLOOD ZONE•AREA =YES -NO <br /> .....KKK <br /> BUILDER < COMPANY f324,_,�j <br /> SIGNATURE REGISTERED Y['N FEE CUR I Y[N <br /> Address Sire( License# I 6CC J�/%,5— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y1 N FEE CURREN <br /> Address License# F_ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YVN FEE CURREN <br /> Address License# F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> + <br /> RESIDENTIAL Attach.(2)Plot Plans; 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 6nsite,Construction Plans;-Stbrmwater 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:4 <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 />