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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 0 <br /> Date Received q23 Phone Contact for Permitting <br /> ............TV ............... <br /> Ownees.Name Owner Phone Number <br /> Own <br /> er's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB2ADDRESS LOT# <br /> SUBDIVISION PARCEL IDO <br /> t. (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN = CJ DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR r__J COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME' STEEL <br /> DESCRIPTION OF WORK 6 <br /> BUILDING SIZE r a6- SQ'.FOOTAGE d 1 HEIGHT• 14- <br /> W.....I M I.... <br /> BUILDING $ aj VALUATION OF TOTAL CONSTRUCTION <br /> L P, <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> I — <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> t4, <br /> =GAS 0 ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA, =YES NO <br /> 1 11 !HHHHII IIIIHIN is Hill 1 HH HHHIHHHHHHHH <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN LY/N <br /> Address I License.# <br /> " <br /> ELECTRICIAN. <br /> LE. COMPANY <br /> SIGNATURE REGISTERED L.KLN LJ FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN LL1LhLJ <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED i Y1,N FEE CURREN L_y <br /> L N_J <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1/ N FEE CURREN LI.LNL� <br /> Address Llcense*# <br /> ............. <br /> RESIDENTIAL Attach(g)Plot Plans;(2)�iiits,of Building Plans;.(I)sety.ofIne.rgy Forms;R-O-W-Permit1drfiew construction, <br /> rn Minimu 'ten(1- days after-submittal date. Required 0)working-da , I <br /> _ 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 submIttaI;da'ie.,Requked onsite.,1 Construction Plans,Stormwater Plans wl$flt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work,Permit1br 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 /> notarized lettist from <br /> it ' <br /> Agent(for the contractor)or Power,of:Att6eii6�-(fdr'th-'6o"*w�'n" er)�wo, be someone wit owner au on ng,same-.- <br /> .,(copy of OVER THE COUNTER PERMITTINGcontract roq`6ir6d)�q <br /> Reroofs if shingles Sewers Service upgrades,-,, -Fences:(PlottSurvey/Fbotage) <br /> Driveways-Not over Counter if on ways..needs R6 <br />