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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Depaftment <br /> Date Received /,z 6 <br /> llrrrrrr= "rTrrr,I Phone Contact for Perrmttm <br /> ..................... ........... <br /> Owner's Name At4evllike"14*0r-e J 12 Owner Phone Number <br /> Owner's Address[ Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS c1f, I LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROP.OSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER l7too,- <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME E::ID STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F SQ'FOOTAGE i HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHH............ <br /> BUILDER COMPANY1 C i r 't sz. <br /> SIGNATURE REGISTERED ( <br /> I I Al N FEE(UJRREN Y/N <br /> Address Is is I License# <br /> ELECTRICIAN COMPANY I= <br /> SIGNATURE REGISTERED L_Y/ N FEE CURREN <br /> L)LL N_j <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# I <br /> OTHER COMPANY 77 <br /> SIGNATURE REGISTERED 'Y/ N FEE CURREN L11 N <br /> Address License# <br /> I I i I I I f i <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&I 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. Require&onsil:6,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new project.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> . . ..... .. ................ <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$7600) <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 over Counter if on public roadways-needs ROW <br />