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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 �C N�- 1 (,L Owner Phone Number <br /> Owner's Address -7 I Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS b (Z C_°�C I (J 2� G, (ti'�S 335y2 LOT# <br /> SUBDIVISION e r roll feL 2 PARCEL ID# -Uv 14 -00006 -0 vl U <br /> __(_0J3TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT SIGN = = DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> l <br /> DESCRIPTION OF WORK // L <br /> BUILDING SIZE SQ FOOTAGE t��U HEIGHT l /Ova <br /> BUILDING $ 2�i VALUATION OF TOTAL CONSTRUCTION <br /> EX-DELECTRICAL $ �/l o D AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING is <br /> Iq OJ <br /> MECHANICAL $ ' VALUATION OF MECHANICAL INSTALLATION <br /> U <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FE CURREN <br /> FT <br /> Address if , _5 T_t 4 6 7 License# I MSG (J<Z (U <br /> ELE ;TRICIAN n`� I COMPANY <br /> °t SIGNATURE N"E� / REGISTERED Y/ N FEE CURREN Y/N <br /> Address— ------, License# <br /> PLUMBER PAT <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IVIECHANI CAL� <br /> ~c COMPANY �1 <br /> j SIGNATURE ��Q `}� REGISTERED Y/ N FEE CURREN Y/N <br /> P Address License# <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 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 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) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />