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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received -Phone Contact for Permitting <br /> ...........­­­1­......I.,rrrr .........M ...... ................ <br /> ............ <br /> Owner's Name, Q_9t0= Owner Phone Number <br /> Owner's Address F73'Si":l Owner Phone Number <br /> Owner Phone Number F <br /> F <br /> JOB ADDRESS. LOT# <br /> SUBDIVISION PARCEL ID# 60 90-000 500-096 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT r>;n SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK 00 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $1 AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> � ]PLUMBING <br /> i$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY =. OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> HHHHHHHHHHH <br /> -BUILDER,-"--- N\-CA COMPANY <br /> -SIGNATURE REGISTERED FEE CURREN, <br /> Address License# I <br /> ELECTRICIAN. W4A4iAY-1AJ10V COMPANY occf),�C_ <br /> SIGNATURE REGISTERED FEE CURREN I Y N <br /> Add.ress 1-7/V rr4 V 4vAgAdli R 33TFe/7 License# 1CC' 0002-5-70 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 7TN 7 <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_y LN J <br /> Address License# <br /> I i I I I I I I I I I I I I H4 I f4l"t.I I I I I I I I I I I I I I I I f I I I I I I I 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 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 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 /> '4 Directions: <br /> = <br /> OnS: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$25.00,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 /> f <br /> Driveways-Not over Counter ion pub Ic roadways..need6ROW <br />