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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivbd f l Phone Contact for Permitting — <br /> Owner's Name CC/��,,SO"✓ I )PG.(t =Owner Phone Number 7 7 <br /> i " <br /> Owner's Address t!p Loa ,.j r-Q r � � / Owner Phone Number <br /> rG Owner Phone Number <br /> JOB ADDRESS S�/Jil LOT# <br /> SUBDIVISION / /V C� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = _ DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR, Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK A) �i �p (,dN6 C ie. �I ( 1 r L`J cc( <br /> 1 /t <br /> BUILDING SIZE SQ FOOTAGE ;157 HEIGHT <br /> =BUILDING O G VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ Ill AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> oil <br /> BUILDER COMPANY AJ <br /> SIGNATURE REGISTERED Y/ N FEE CLAREN )L/N <br /> Address License# <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 Y/N <br /> Address F License# <br /> i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Form nstuction s;R-O-W Permit for new construction' <br /> Minimum ten(10)working days after submittal date. Required onsite,iConstruction 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$75100) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone wilh 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 orr public,roadways..needs ROW <br />