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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recel-ed <br /> Phone Contact for Permitting <br /> ... . . ........... ................. <br /> Owner's Name A Owner Pho <br /> ne Number <br /> Owner's Address Ad6 AA&�_ Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 13�32I`A 'Bolwo or LOT# <br /> SUBDIVISION ✓ t -Z'�T, PARCELID#1 0211 �-6- 21k-O'a I A- 00QI�00 _00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> e I INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F ISO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N_J <br /> Address License J7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address _7 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address F License# <br /> OTHER COMPANY C-C-C(3'31qS_9 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> -ri q gig <br /> Address &,1i <br /> \Vi!iBSAA)JAt, 1U,12� License# EE FC- OS <br /> I M 2 2 1 2 111111111 a I I I I I I M I I I I I I I I I I I I I I I++ 111111111111111 H+ <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 wl 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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I 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 /> ............... .................... <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (AIC 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 />