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\13-780 <br /> -0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> j ved Phone Contact for Permitting ..L....... — <br /> F,i/e Name O ry(, Owner Phone Number <br /> Owner's Address 6T Owner Phone Number <br /> 7�f�fjly�J,l/� FL Owner Phone Number <br /> JOB ADDRESS 4J / LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK a6oIN <br /> BUILDING SIZE ;Z SQ FOOTAGE= HEIGHT <br /> BUILDING $ ¢ �� O O I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 0 AMP SERVICE 0 DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ ( � <br /> - 2 1 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY '(D74(—e <br /> SIGNATURE "� "� `�"� �`� REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPAN 4"/ Du��J�r <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> t <br /> OTHER COMPANY <br /> 11 SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <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(for the owner)would be someone,#ith notarized letter-from owner authorizing same <br /> OVER THE COUNTER PERMITTING . :,(copyof,contract i6quired) <br /> Reroofs if shingles •.Sewers •Service;llpgradesA/C `;;Fences(Plot/Survey%Footage).:; - <br /> Driveways-Not ovgr Counter;if-on public.roadways:meeds:ROW <br />