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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> ZZ Phone Contact for Permitting -- <br /> Owner's Name r� Il Owner Phone Number <br /> Owner's Address '5 LA �tS { S"� Owner Phone Number <br /> frt Owner Phone Number - <br /> JOB ADDRESS ! s ( ��/ JJ _ ` LOT# <br /> SUBDIVISION PARCEL ID# - 0I -Q-1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM OTHER I (' d' a -, <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL Q <br /> DESCRIPTION OF WORK,x 2i <br /> BUILDING SIZE /rem; AS a [ SQ FOOTAGE HEIGHT <br /> ILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY W.R.E.C. <br /> 6604Y�o a2 <br /> QPLUMBING $ � f S <br /> n��jj <br /> =MECHANICAL $ _7 VALUATION OF MECHANICAL INSTALLATION <br /> 4�(k_=GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO V! <br /> BUILDER /' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /iY/N y <br /> Address � (ae� License# I' 67, <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> 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.v(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 i;' c F(copy of'coiitract required) <br /> Reroofs if shingles Sewers :'S .Service Upgrades A%C •Fences(Plot/Survey/Footage)• <br /> Driveways-Not over Counter if on public roadways.:needs ROW <br />