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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> f. <br /> Date Received Phone Contact for Permitting.1.......... <br /> .......... rMXl3=IX1X=................Owner's Name Pa-MCkA Owner Phone Number <br /> L <br /> Owner's Address -TYO,,waa� Plo <br /> c Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 3g QC� 0a �I - LOT#c <br /> 30 SUBDIVISION �wxb 6-Z- PARCEL ID# <br /> (OBTAINED FROM-PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONISTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK E—] FRAME STEEL = E- <br /> I TIC�Ux,� <br /> DESCRIPTION OF WORKS 1e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 14. <br /> =BUILDING <br /> VALUATION OF'TOTAL CONSTRUCTION' <br /> DUKE ENERGY' W.R.E.C. <br /> =ELECTRICAL AMP SERVICE <br /> =PLUMBING 1$ VV2 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS' F— FLOOD ZONE AREA =YES NO <br /> HHH!HHHH HHHHHHHi gHHHHHHH <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN . LyIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_X <br /> _L N_j <br /> Address License# F— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y*/ N FEE CURREN <br /> Address I License# F- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN L_X/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y N - <br /> -7 <br /> Address OIAS)b License#1 s zs <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&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 wl 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 /> Directions: <br /> =OnS: <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 />