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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receive <br /> 17 .Phone Contact for Permitting <br /> Owner's Name Q n' f 1 I Owner Phone Number <br /> Owner's Address u ( ( >� Owner Phone Number <br /> :33 Owner Phone Number <br /> r , <br /> JOB ADDRESS N j I)I-, u(-- S # <br /> SUBDIVISION PARCEL ID# " <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR. ADD/ALT SIGN. _ = DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER • <br /> TYPE-OF CONSTRUCTION 0 BLOCK 0 FRAME ST EL 0 <br /> DESCRIPTION OF WORK q - <br /> BUILDING SIZE SQ FOOTAGE 1 ?. I HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> U �v <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q. SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD,ZONE.ARE =YES NO <br /> BUILDER C COMPANY Q � <br /> VCyAASIGNATURE REGISTERED Y/ N FEE CURREN Y/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 CURREA " YIN' <br /> Address License#: <br /> MECHANICAL ' 'COMPANY <br /> SIGNATURE REGISTERED ' Y/'N' FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;..(2)sets of Building Plans:(1):set;of Energy:For fns;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 subdivisions/la rge 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,Stormwaiter Plans w/.Silt Fence installed," <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new project,..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 of . <br /> If over$2500,a Notice Corrime'ncement is.required. (A/C upgrades over$7 00) <br /> Agent(for the contractor)or Power;of Attorney'(f6uthe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER-PERM ITT]NG':._: of:confract required') <br /> Reroofs if shingles Sewers ";,(.ServiceaJpgrades_ PJC Fences(Plot/Survey/ otage) <br /> Driveways-Not over Counter if on public roadways..needs ROVI! <br />