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813-780-0020 City of Zephyrhills,Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 7F,2 <br /> ...... ........ ... ................ .......I Min rrr= <br /> 10, 1 <br /> Owner's Name A�nt KQ # AC Owner Phone Number <br /> Owner's Address 6OU-21 Owner Phone Number <br /> xn/o Owner Phone Number <br /> JOB ADDRESS PIN 5_4 Amle_14 ZeAmlilli-4 A LOT# <br /> I f <br /> SUBDIVISION & ill s PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK ns Il ap 'IV at/ked S-elvlee <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> []Z'ELECTRICAL 1$ . 70 AMP SERVICE DUKE ENERGY W.R.E.C. <br /> E2< <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1 111 B 1 1 1 N 1 1 a 2 1 1 1 1 1 i 1 R 1 1 1 F 1 1 1 1 1 N 1 11 1 1 1 a 1 11 1 1 1 11 1 1 N 1 a 1 1 1 <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_J <br /> Address License# <br /> I J ff <br /> ELECTRICIAN COMPANY �A /76 0217461 jkl <br /> SIGNATURE REGISTERED (Y) N FEE CURREN LaLN_j <br /> Address <br /> A0 AA r-t, License# Fc--C, 0,00 1 a <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Lj� <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN��] <br /> Address License# I <br /> i I I I m I I I I I I I i I I m 2 111111111111 9 M I I I I i I I I I I I I i 1 2 m i M ffi I I I I+ <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 Facilities&I 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&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 /> ...... ....... . . ... ........... <br /> .......... <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. (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 ifbn'pUlbli6rogdways.­ 6dsROW <br />