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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Depart ent <br /> i <br /> Date Received <br /> .Phone Contact for Permitting --_Gy1 <br /> Owner's Name fM r ` Owner Phone Number `������ 7-7 ` <br /> Owner's Address `oo CAC` C�l� �� Owner Phone Number <br /> Owner Phone Number <br /> i <br /> JOB ADDRESS ( �62 O <br /> `[� J V- lr LOT# <br /> SUBDIVISION PARCEL ID#=L - -oZ�-d�� -OQ\op_W <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK•PROPOSED NEW CONSTR ADD/ALT = SIGN. _ = DEMOLISH <br /> e INSTALL. B REPAIR <br /> PROPOSED USE = SFR = COMM 0 OTHER <br /> TYPE'OF.CONSTRUCTION Q BLOCK Q FRAME = STEEL 0 <br /> DESCRIPTION'OF•WORK / kt _3 C5.0 < t, x)\C f cc&!�A-e_ <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 00 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.AREA =YES NO <br /> BUILDER COMPANY! <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY hn ��' ����� ��f`S <br /> SIGNATURE r REGISTERED Y/ W FEE CURREN <br /> Address 3�J tv�iSS�f lIf oll License# G^C 1_S0C)93V <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 <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, 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 onsite,Construction Plans,Stormwater Pian's.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_(1.0)working,days,after submittal date::.Reguireci•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. (AIC upgrades over$7500) <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 (copy;of contract required).,,-,-,,, <br /> Reroofs if shingles Sewers .-.�-_-Service•Upgrades'A/C'..7"Fences rot/Survey%Footage) <br /> Driveways-Not over Counte0f on publi&o6dway9..need6'R6W <br />