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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departme t <br /> Dzt:,Received 81 �� _ <br /> Phone Contact for Permittin <br /> ....rrrI 71 <br /> Owner's Name Lrrrrrrrrrrrrrrrrrrr rC wrier Phone Number <br /> Owner's Address �L wrier Phone Number <br /> ey.� �0 1Ly y o wrier Phone Number <br /> JOB ADDRESS 66 �C`-`4- �` LOT# <br /> i <br /> SUBDIVISION PARCEL ID# 0'2,1"?-\O ^ O�2I ` GP UGrC10"� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Ql FRAME STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ iSC <br /> =MECHANICAL $ VALUATION OF MECH NICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AR A =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY . <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN " Y/N <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# CC-OS-7 S <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy orms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required on ite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivision /large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Pag ;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.-Required onl ite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new pro ects.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 ove $7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someo�e 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/Su ey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />