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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> i Date Received ) (S '2.0 Phone Contact for Permitting — <br /> i <br /> Owner's Name <br /> f Owner Phone Number <br /> Owner's Address 3 $ a a% Owner Phone Number <br /> FL Owner Phone Number <br /> i <br /> JOB ADDRESS QWAer eA L SS LOT# <br /> SUBDIVISION PARCEL ID# I &) O- 0,11bo- a ( p <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN = = DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE = SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 STEEL = <br /> DESCRIPTION OF WORK (v <br /> BUILDING SIZE F SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY zo Je �Lt•Ctne <br /> SIGNATURE REGISTERED Y/ N FM CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED LI.L N FEE CURREN LY/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN 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 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(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. 1 <br /> ****PROPERTY SURVEY required for all NEW constriction. <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$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING-'` '. '(copy;.of.contractiequired) <br /> Reroofs if shingles I Sewers �`$eivice:Upgrades 'A/Ci:-. 'Fences(PlottSurvey/Footage) <br /> Driveways-Not 6ver,66n(6 f on public roadways.nee is ROW <br />