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813-780-0020 City of Zephyrhills Permit Application Fax-B13-isU-UUZ1 <br /> Building Department] <br /> Date Received (�� f� f C _ `J`7G► <br /> -1 �1 .Phone Contact for Permi ing <br /> ` Owner's Name ,gt!!nJ Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> 0 ner Phone Number <br /> JOB ADDRESS W LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAiNW-FROM PROPERTY TAX-NOTICE) <br /> WORK PROPOSED NEW CONSTR V I SIGN Q Q DEMOLISH <br /> INSTALL 8 ADD/ALT REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK C.s� -SaQ �[ /++►+��/woh; o � <br /> BUILDING SIZE SO FOOTAGE 11� HEIGHT. <br /> VALUATION OF TOTAL CONSTRUCTION <br /> BUILDING $' <br /> =ELECTRICAL, 1$$'� AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ '� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES . NO <br /> Je►«�•,� C.0 e, <br /> BUILDER ��� �� � COMPANY • <br /> SIGNATURE .. _> REGISTERED i Y/ N FEE CURRER Y'/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y 7 N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRER <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/'N - FEE CURRER Y 1 N <br /> Address License# �- <br /> OTHER: COMPANY <br /> SIGNATURE REGISTERED Y/`N FEE,CURRER Y/N <br /> Address, License# <br /> RESIDENTIAL.- Attach(2)Plot Plans;,(2)sets of Buiiding'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;Stonnwater Plans wPSlit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site.Work Permit for subdivisionsliarge projects <br /> COMMERCIAL Attach(2)complete sets of Building,Plansplus a Life Safety Page;(1j 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 Hrojects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered'Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> I <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,l notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ** Agent(for the contractor)o�-Power of.Attorney,(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING '(bpy:of1contrapt required) <br /> Reroofs if shingles Sewers Serviee.Upgrades,, A/t✓;':;'=,Fences(PiotlSurveylFootage) <br /> A+ C'i?',^ <br /> Driveways-Not over Counter_if:on.public roadways:nseds'I20V11. '. <br />