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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> 1 <br /> Owner's Name t.AAcA\ A (3VJ-a\e Owner Phone Number <br /> Owner's Address I,_\.L,\\e-(\ Owner Phone Number <br /> Ill` Owner Phone Number <br /> JOB ADDRESS -3 7RaiwoA 1C. LOT# <br /> I 007?N SUBDIVISION PARCEL ID#F0 2�6 0- <br /> A 00- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED' NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F' SO FOOTAGE= HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> 1,P <br /> =ELECTRICAL 1$ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> REGISTERED Y/ N FEE CURREN . <br /> BUILDER COMPANY <br /> SIGNATURE _y <br /> L N_j <br /> Address F License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN N <br /> Address License# L_J <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED LYLN J FEE CURREN L_Y2 N_J <br /> Address License# F_ <br /> OTHER COMPANY SCA 2&a LV�4y-,� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y�N <br /> Address l-- License# =aS­-751y'/ J <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 Slit 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&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 /> "'"44t,l,"44 I I i i I I i I i 111 a 11 1111 a 1 <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 />