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813-780-0020 City of Zephyrhills Per it Application Fax-813-780-0021 <br /> Building Deparinent <br /> Date Received l y Z Q .Phone Contact for Permi ing 7 a 0(/ <br /> Owner's Name, Owner Phone Number <br /> Owner's Address SSi q-1 s Z Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS I I LOT# <br /> SUBDIVISION PARCEL ID# 2(,,, 2 1 U d 10 J1 36(::) O b�d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN = = DEMOLISH <br /> R INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF WORK ) rd,A, U ri a as n FLJ b I ZL , <br /> Lt:=BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING $ 00 VALUATION OF TOTA CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECH NICAL INSTALLATION <br /> =GAS d ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AR A =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address, License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, <br /> Address .License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI% Y/N <br /> Address License# <br /> OTHER ( COMPANY VAIJ vvc>n <br /> SIGNATURE REGISTERED 1 Q2 N FEE CURREt, 01 Y/N <br /> Address 2 (� p . �� �/ y 7 License# 133 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy F rms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsi e,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities$1 dumpster;Site Work Permit for subdivisionsy arge 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 aftersubmittal date. Required onsi e,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit.fbr.all new proje ts.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 500) <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 /> Remofs if shingles Seiivdes--"• _-,=-Service:Upgrades A/C Fences(Plot/Surve),Footage) <br /> Driveways-Not over Counter if oil:public.roadways..needs'ROVjI <br />