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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name S C�� Owner Phone Number ��—�S'0 �56 C <br /> Owner's Address r b C) Cr eLf, ,n r, Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS ©� l,l>�Z :c t LAC LOT# <br /> SUBDIVISION PARCEL ID# p`Z� "p1�o"d —0 0 b—O by 66—�o��O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK,PROPOSED NEW CONSTR ADD/ALT = SIGN. _ = DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE = SFR Q COMM Q OTHER <br /> TYPE'.OFZONSTRUCTION = BLOCK 0 FRAME = STEEL Q <br /> fi <br /> DESCRIPTION'OF WORK Vk(1u Go 0,, <br /> BUILDING SIZE r SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL $ O© 6c>1 AMP SERVICE = DUKE ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD'ZONE.AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY Y1 <br /> SIGNATURE ,p /� REGISTERED Y N FEE CURREN <br /> Address �S s VA, S�s� Y��/2 Of0 ( Y I License# CC r 3ey:i)cf �1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREh <br /> Address License# <br /> MECHANICAL ' 'COMPANY <br /> SIGNATURE REGISTERED ' Y/-N FEE CURREN LILN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License,# <br /> RESIDENTIAL Attach,(2),Plot Plans;(2)sets of Building Plans:(1):set;of EnergyiForms;R-O-W Permit for new construction;:. <br /> Minimum ten(10)working days:after'sutimittal date.-Required onsite,(Construction Plans,StormwaterPlans 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 atLife,Safety Page;(1)iset 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$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 Fences(Plot/Survey/Footage) <br /> Driveways-Not ovee Counter if on`-public roadways.:nei:ds ROW <br />