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813-780-0020 City of Zephyrhills Permit pplication Fax-813-780-0021 <br /> Building Department <br /> Date Received ,J Phone Contact for Permitting -- <br /> Owner's Name Owner Phone Number <br /> Ll <br /> Owner's Address (�� �Ltitt.(!L f O ner Phone Number <br /> O ner Phone Number <br /> .tOB�4 RESS ZL, ac if LOT# <br /> f /-� <br /> SUBDIVISION PARCEL ID# V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR H ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q,p BLOCK 0 FRAME = STEEL 0 <br /> DESCRIPTION OF WORK CiV�YZ l!/ <br /> BUILDING SIZE SQ FOOTAGEM HEIGHT <br /> BUILDING $ / VALUATION OF TOTAL CONSTRUCTION <br /> a CstO <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS IN ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER /��� COMPANY V t, <br /> SIGNATURE ""° " REGISTERED Y/ N FEE CURREN YJN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> - Address- -- --- - - -. - -- — - - - - ---License-# ---- - — - <br /> i <br /> OTHER COMPANY <br /> �} SIGNATURE REGISTERED Y/ N FEE CURREN <br /> I <br /> Address License# <br /> HHUHMH <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 onsite, nstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarg 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$750 ) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING, %:'.(bopy;of contract required) <br /> Reroofs if shingles Sewers :',`bServicG;Upgrades A/C Fences(Plot/Survey/Fo tage) <br /> Driveways-Not over Counter if on,publiclroadways..needs ROW <br />