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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Deparl rnent <br /> Date Received <br /> Phone Contact for Permi ing <br /> Owners Name Owner Phone Number <br /> Owner's Address �® a��� �� al Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 39,344 A-\ Y LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> W,ORK.PROPOSED NEW CONSTR ADD/ALT SIGN. 0 = DEMOLISH <br /> B INSTALL, REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF-CONSTRUCTION BLOCK Q FRAME STEEL = y <br /> DESCRIPTION OF•WORK kU , d C Cs <br /> BUILDING SIZE F7 SQ FOOTAGE HEIGHT <br /> ILDING $ VALUATION OF TOTAL CONSTRUCTION <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 FLOODZONE,ARE - =YES NO <br /> BUILDER COMPANY- <br /> SIGNATURE REGISTERED Y L N FEE CURREN Y/N <br /> Address' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address S iz���v}� a��� `> s£ �� / 1 License# T C n3oo °? <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN' <br /> Address License#.".' <br /> MECHANICAL ` 'COMPANY'' <br /> SIGNATURE REGISTERED ' Y/'N FEE CURREN Y L:N <br /> Address License# <br /> OTHER COMPANY <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,Fo s;R-0-W Permit for new construction, <br /> Minimum ten(10)working days'after-submittal-date:`Required onsit ,Construction Plans,Stormwater Plaris 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.(10)working days'afi&submittal.date.;.Required,onsit ,Construction Plans,Stormwater P..lans.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$7 00) <br /> Agent(for the contractor)or;Powerof,Attorney`(for';the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING:: 'r;c:(copy of:contract'rgquired) <br /> Reroofs if shingles,: Sewers:,`,i'.n-j;Service;Wpgrades':'''C? Fences(Plot/Survey/ ootage) <br /> Driveways-Not over'Coiiriter if oripublic roadways::needs ROW <br />