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813-780-0020 City of Zephyrhills Permit Application`. - Fax-$13 7$0-0021 <br /> Building Department:': <br /> Date Received' ; :':...;• ".. _:,,;�.`. ". . <br /> t j - Phone Contact for Permitting,...; Z <br /> Owner's Name �b�� ��-+/�`� Owner Phone Number <br /> Owner's Address �� �� %' i� 5 M/1 Owner Phone Number �! <br /> �— Owner Phone Number <br /> JOB ADDRESS �: Ci1'" ��[�` f1"v�. LOT# <br /> SUBDIVISION —� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT 0 SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER V <br /> TYPE OF CONSTRUCTION n, I BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK �^� C�J�' S � ur �?MW e?--✓G Y,76 <br /> BUILDING SIZE F SQ FOOTAGE= HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $$ —� AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ � <br /> MECHANICAL $�S-1 00 R�� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER --- COMPANY <br /> SIGNATURE � REGISTERED f Y/ N FEE CURREN . Y/N <br /> Address F License# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY 04( �t- 1/� `' <br /> SIGNATURE " ^ REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address �(O�j m(!(N —' tit'iAm aApd License# WE l (01 (as <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I 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. <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$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 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 />