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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 — <br /> Owner's Name IrICI A Owner Phone Number ^3 <br /> Owners Address !� Y�c Owner Phone Number <br /> Owner Phone Number <br /> 0E 40C 49 <br /> L :� <br /> JOB ADDRESS 5y ( / L T# <br /> SUBDIVISION PARCEL ID# // lD P�L/ I1 v 000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL B REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER o <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> -_ �] h -tern, ev, <br /> BUILDING SIZE SQ FOOTAG HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ /►,�(E,?/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v (J <br /> =GAS = ROOFING [fir1000o, SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ` COMPANY / ifs `L[ [Aof e. <br /> SIGNATURE REGISTERED Y/ N FEE CVOREN I Y/N I <br /> Address �� [ Dl'i Af ad&& �j License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/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 L11 N <br /> Address License# <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),corriplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum-fen(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 ___ ,Se;vice.Upgrades„A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on,public roadways..needs ROW <br />