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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 /> rTTrTTTTTTrrrrrrrr........ ............. ............J. ........ . .... ......rTrrrn <br /> dOwner's Name hAl) Al-01) Owner Phone Number <br /> Owner's AddressF—r/,n, /?,-Ak Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS I k_ A LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRf� ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME 0 STEEL <br /> DESCRIPTION OF WORK 1 -14,oi:4 Pkw-L 1 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING I$ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ 0500 .00 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> r.1.(A <br /> .........4 - .......... <br /> BUILDER COMPANY I L"�- .0�� <br /> SIGNATURE REGISTERED Y/ N FEE CURREI% <br /> Address License# <br /> ELECTRICIAN a <br /> COMPANY 111yxi— s2XZA__' <br /> SIGNATURE REGISTERED _Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY I Axe ow" I <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, <br /> Address License# <br /> MECHANICAL COMPANY ahrc5 ffo,= a <br /> SIGNATURE REGISTERED Y/ N I=EE CURREI`, Y/N _ <br /> t1tiql <br /> Address Ad License# ()q 39qy I <br /> OTHER M PANY <br /> SIGNATURE co <br /> REGISTERED Y/ N FEE CURREI`, Y/N' I <br /> Address• License# <br /> I I I I I i I I I I I i 2 1 <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&I 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,8tormwater 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 A (fdr'"bWnbr)-Would be someone with notarized letter from owner,authorizing:same- <br /> OVER THE COUNTER PERMITTING -%;w'.r,(popy�pfpo -ed6j".. ......—ptract rdqdi <br /> ,"i ACe's(Plot/Survey/Footage)Reroofs if shingles Sewers <br /> 'Driveways-Not over Counter if on public-roadwayS..�d's_R <br />