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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 d Owner Phone Number 0 0( <br /> Owner's Address Owner Phone Number �� <br /> Owner Phone Number <br /> JOB ADDRESS �0 D l� �-C�w L S LOT# <br /> SUBDIVISION PARCEL ID# � �� _ I �' 00000-31�b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = Comm �/OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL Ql^n n <br /> DESCRIPTION OF WORKLn=U l a �vv U 4 �1' r� o ' � <br /> ., <br /> BUILDING SIZE J SQ FOOTAGE HEIGHT <br /> G(2 <br /> =BUILDING $ O� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Is aO Gt7 AMP SERVICE -2-OD DUKE ENERGY = W.R.E.C. <br /> =PLUMBING Is �^� 0 o� O <br /> ZS " SO <br /> =MECHANICAL Is rl i VALUATION OF MECHANICAL INSTALLATION {�(i <br /> =GAS = ROOFING = SPECIALTY = OTHER /X11 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER „ ' COMPANY U k <br /> SIGNATURE ( REGISTERED Y/ N FEE CURRE/� ( )Y/N <br /> Address 0 f­'Laxt-wLd License# / 1T / 1 as 0 c <br /> ELECTRICIAN COMPANY & t`--J Eb-Cin C' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> _74- <br /> Address V1 lA�05 I_ License# <br /> PLUMBER / COMPANY tlW ' <br /> SIGNATURE 6 REGISTERED Y/ N-i FEE CURREN Y/N <br /> Address 06 S License# 50k, <br /> MECHANICAL COMPANY J <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address PAo V 1�lr 1 AT U M License# C ACb S� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/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 Pians w/Sili Feriae iiistailed, <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. (AIC upgrades over$7500) <br /> •' Agent(for the contractor)'or of Attorney(for the•owner)would be someone with notarized letter,from owner authorizing:same <br /> OVER THE CO.UN LER PERMITTING , (copy of contrapt required) <br /> rades A/C Fences Plot/Surve /Foots a <br /> Reroofs if shingles.:' Sewers ;;Service Upg _ ( Y 9,),.• .'�,-. - •-• _- , <br /> Driveways=Not overi-Counter if on.publib.-adways..needs ROW <br />