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ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ived 1 ) Phone Contact for Permitting <br /> is Name Owner Phone Number 'I'ieC U <br /> �.vner's Address .3 �l •S Owner Phone Number <br /> / ht•/`�! ��S �` ✓3 Z Owner Phone Number <br /> JOB ADDRESS S 3 3 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK G;: —JCS <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> SOD. oa <br /> =ELECTRICAL $ ' O DO AMP SERVICE ` E DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ •Ov C4\ � <br /> =MECHANICAL $ 55oo.ov VALUATION OF MECHANICAL INST LATION - <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER `COMPANY I P e /jn <br /> SIGNATURE REGISTERED Y/ N FEE CURREI% Y/N <br /> Address S 7E� S License# �` 1! <br /> C' c dui ,p <br /> ELECTRICIAN COMPANY U SIGNATURE GGG REGISTERED Y/ N FEE CURREf, Y/N <br /> ,-Address ice sFEC 8CO 7124 <br /> PLUMBER <br /> 'SIGNATURE REGISTERED Y/ N I FEE CURR P Y/N I <br /> L <br /> �Address�— - — icens <br /> e_#:y_ <br /> 'ANICALy 1 COMPANY <br /> (SIGNATURE _ --REGISTERED----—Y--/—N— ----FEE-CURREN——, <br /> s—--Addres's` v"' License# �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, 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 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 /> re Dictions: <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 Service Upgrades A/C Fences(Plot/Survey/Footage),V <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />