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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �-�j !t Phone Contact for Permittingrrrrrr Owner's Name 616VAIJAIXO R I A/0 Owner Phone Number " <br /> Owner's Address. 3 Owner Phone Number <br /> �- Owner Phone Number <br /> JOB ADDRESS S LOT'# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN 0 = DEMOLISH; <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR• = COMM OTHER. <br /> TYPE OF CONSTRUCTION, = BLOCK Q FRAME 0• STEEL <br /> DESCRIPTIOMOF WORK O ( d swig—) <br /> BUILDINGSIZE SQ FOOTAGE HEIGHT <br /> F . =1 <br /> =BUILDING . $ 7 VALUATION OF TOTAL CONSTRUCTION b n-e;�—7"] <br /> =ELECTRICAL, ($�� AMP SERVICE 0 DUKE ENERGY W.R.E.C. <br /> =PLUMBiNG1$ � <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY OTHER f <br /> Y <br /> FINISHED'FLOOR ELEVATIONS ( . FLOOD ZONE AREA: . =YES NO E+p <br /> ,.......0. <br /> BUILDER C MPANY � �^ "��" " G � <br /> SIGNATURE t� 99 �) REGISTERED Y/.N FEE CURREN <br /> Address' �5 /!/ tO� /,0 License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N" FEE CURREN "Y/N" <br /> Address 'License# <br /> PLUMBER COMPANY <br /> SIGNATURE 'REGISTERED Y/°N I FEE CURREN Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE;' REGISTERED Y/-.N FEE CURREN Y/.N <br /> Address, License#. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# F — T I <br /> RESIDENTIAL Attach;(2)Plot Plans;,(2)sets of Building Plans;(1),set of.Energy Forms;WO-W Permit for new construction,'. <br /> Minimum=ten-(10)-working days after submittal.date.-Required'onsit%Construction Plans,.Stormwater Rlans irv/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-_00)working.days aftersubmittal 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. (A/C upgrades over$7500) <br /> " Agenf(for the contractor)•or Power of Attorney(far: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 Seniice;Upgrades!.A/,C, Fences."Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubk roadways::needs`ROW~ - <br />