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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> .... .. ,Phone, ,Contact for Permitting 1311333;00� <br /> ... .. ..... <br /> Owner's Name Owner Phone Number <br /> Owner's Address C/ W se', ct S Owner Phone Number <br /> Owner Phone Number <br /> JOB-ADDRESS 5a,�4 LOT# <br /> SUBDIVISION f7rGf,dlni7 t4e( PARCEL 10# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT- SIGN DEMOLISH <br /> e INSTALL F__1 REPAIR <br /> PROPOSED USE SFR Q COMM 'OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME' STEEL 0F_ <br /> DESCRIPTION OF WORK 6 zlt,/4 j t /C; -e <br /> BUILDING SIZE 4iOOTAGEF//� r HEIGHT,�6 <br /> W4 -1,j jail,1,11, <br /> =BUILDING 1$ 2C VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION 5:3. <br /> =GAS 0 ROOFING 0 SPECIALTY OTHER >_) <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 1�(.,me F(,Ice <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address (y 154- 'License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# f <br /> MECHANICAL ' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_XLN J <br /> Address License# <br /> RESIDENTIAL Attach(2)'Plot'Plans;(2),sets-of Building Plans;(I).Saof.Energy Forms;R-O-W Permit1drnew' 'construction, <br /> Minimum ten(I 0),woriiing days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely 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:'44 III issgiiiiiiigll Ra g 1!iff 1 all!l if Emit i vNi s 1 8 1 staliff!NE sail <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 /> Reroots if shingles Sewers Service Upgrades-.A/C.... Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />