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813-780-0020 City Of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> p <br /> Date Received2 -. q )) phone Contact far Permitting �✓ W — l <br /> Owner's Name /fi &C- (00 Owner Phone Number <br /> Owner's Address 38 o 1 Owner Phone Number <br /> COwner Phone Number <br /> JOB ADDRESS P3 i I st /�tl� LOT# C� <br /> SUBDIVISION 1 G 1O Zrek c-�db PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT SIGN 0 [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �tt GG �!J Lll,nct w ALL° <br /> BUILDING SIZE r !� SQ FOOTAGE= '' HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE �j 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ �1531 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHH"HHHHH 1 71 11 111111111111111111111111 1 11 1. <br /> BUILDER �!% '` —� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUR Or <br /> REh Y 1 N <br /> Address Q rt .3.301F License# I C ric ne.I (,q I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y J 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 W,brk 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 /> " would be someone with notarized letter from owner authorizing same <br /> Agent(for the contractor)or Power of Attorney,(for the,own <br /> OVER THE COUNTER PERMITTING :'(copy:of;contract;regdired}_ <br /> Reroofs if shingles Sewers Ser i'rce,Upgrades.,A/C� : 'F.ences(Plot/Survey/Footage) <br /> Driveways-Not over counter if on public Toadways..needs ROW <br />