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813-780-0020 City of Zephyrhills P rmit Application Fax-813-780-0021 <br /> Building Dep rtment <br /> i <br /> Date Received <br /> .Phone Contact for Per fitting <br /> Owner's Name SA 21 o- Q,u -1 0 Owner Phone Number <br /> Owner's Address cd 2Z`{ DcL,� Lc,�. Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS b ✓ LOT# <br /> SUBDIVISION PARCEL ID# '7(`g�`�� -009a`zeO CC)C O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR= ADD/ALT SIGN. _ = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME �] STEEL <br /> DESCRIPTION OF WORK S F k-A ri-L S ~ <br /> BUILDING SIZE F SQ FOOTAGE= HEIGHT <br /> =BUILDING $ ( Z VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MEC ANICAL 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 Ly/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY.LN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN " Y/N'J. <br /> Address License# <br /> MECHANICAL 'COMPANY <br /> SIGNATURE REGISTERED Y/ 'N FEE CURREN Y'/N <br /> Address License# <br /> OTHER '- COMPANY \ <br /> SIGNATURE "�`2-�, REGISTERED Y/ N FEE CURREN N <br /> Address 5 q 8 r lJGet,+:- License# Fa cc C 05 77 Z, <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building.Plans;(.1):set of Energy•.Fo ms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal-daW Required onsite,Construction Plans,Stormwater Plans 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..Required,onsit ,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projec s.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$7 00) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone w th 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 over Counter if on public roadways'..needs ROW'. <br />