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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 C3 13 -- t .5 <br /> Owner's Name o✓cc, Qc Owner Phone Number <br /> Owner's Address ate— �" Owner Phone Number <br /> Owner Phone Number <br /> I <br /> JOB ADDRESS 5 9 ZZ �—nJ LOT# I� <br /> i <br /> SUBDIVISION PARCEL ID# (I`2fo— — O O— ovO0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL R <br /> REPAIR <br /> PROPOSED USE I = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q rFRAME = STEEL = <br /> DESCRIPTION OF WORK cS F1 — <br /> I _ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ n �� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ `7 AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING I $ t9 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS I ® ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY UJ ((J1J12 (Zvz�_Pt NS <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address ���� License# CCC O�� "Z. <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&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: <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 or the.oWner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING,.-,Y,';;:(copy ofcontrac,.required) <br /> Reroofs if shingles Sewers ' Servige;Upg�ades. A%C.: Fences(Plot/Survey/Footage) <br /> Driveways-Not'b"ver Coun'fer'if on public roadways..needs ROW <br />