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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 V a <br /> Owner's Name c-h" sk1.�e � PQ¢! Owner Phone,Number <br /> Owner's Address S 1 -� Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 16 r � 5� 2e LOT# <br /> V LIP <br /> SUBDIVISION PARCEL ID# I �b s Z� 'QQ -0O i'0 o -Q 1 Q <br /> AOBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT =] SIGN = = DEMOLISH <br /> e INSTALL B REPAIR <br /> PROPOSED USE 0 . -SFR = COMM = OTHER <br /> TYPE OF'CONSTRUCTION = BLOCK Q FRAME <br /> ± = STEEL = ' <br /> DESCRIPTION OF WORK 1 co- OdI /-+� e r`e- �7 4h, S <br /> BUILDING SIZE S a SO FOOTAGE= HEIGHT <br /> =BUILDING' . $ �! VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q, DUKE ENERGY = ' W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES•_ NO <br /> BUILDER COMPANY 1 . <br /> SIGNATURE REGISTERED Y/ N, __ FEE CURREN Y/N <br /> .Address' License# <br /> ELECTRICIAN COMPANY. <br /> SIGNATURE REGISTERED Y/ N_J FEE,CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N- FEE CURREN' " Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATUREr REGISTERED Y/•'N` FEE CURREN. LILN J. <br /> Address License# <br /> OTHER COMPANY S" rftft7 _T Z <br /> SIGNATURE REGISTERED YJ N FEE CURREN I Y/ <br /> Address License.#--_ -C-�l�� 1 <br /> 11511111 2 Ina !H. <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 w/Silt Fence installed, <br /> Sanitary Facilitles&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 of4Energy 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 :- Seivide U' pgradeg,A/C, ; Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter,if on'public roadways:.needs ROW <br />