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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Depa ent <br /> Date Received q g 3 Y°! <br /> Phone Contact for Permitti <br /> Owner's Name Owner Phone Number Owner's Address 1 S� Owner Phone Number '��' 1 'r/ <br /> Owner Phone Number g <br /> JOB ADDRESS �'d S J LOT# <br /> SUBDIVISION �G�uh Jr 0 PARCEL ID# -OCT/0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN = = DEMOLISH <br /> INSTALL L2 REPAIR <br /> PROPOSED USE SFR Q Comm 71 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME �] STEEL = <br /> DESCRIPTION OF WORK Equ CS -Z <br /> BUILDING SIZE r SO FOOTAGE �j� HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> It 1 MECHANICAL $ ©O VALUATION OF MECH NICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AR A =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN <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 License# <br /> MECHANICAL COMPANY I ,Yl Y c Zf �-� <br /> SIGNATURE v REGISTERED / N FEE CURREN <br /> Address Sqa G ZD �� License# <br /> OTHER FCOMPANY <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 onsiie,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/urge 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 onsi}re,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new proje ts.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. t <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commenicement is required. (A/C upgrades over 500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone ith 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 on public roadways:Abeds ROW. <br />