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813-780-0020 <br /> City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building <br /> . ....... <br /> Date Recei've"d. <br /> Azz�Z­kxn" <br /> Phone Contact for Per itling'..,il"' <br /> .......... ........... <br /> Owner's,"Namd OwneirPlfd­ ffihib­­: <br /> Owner's AddresslM'tO Owner Phone Number F <br /> :�Z 1 Owner Phone Number <br /> a ogg�l <br /> JOB ADDRESS saw e— <br /> LOT# <br /> SUBDIVISION VIZ K RUIV go 441 U/,704/ PARCEL to# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> e INSTALL R REPAIR <br /> PROPOSED USE SFR 0 Comm OTHER Q `_ <br /> TYPE OF CONSTRUCTION BLOCK JP�FRAME STEEL RMIF1 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 7x),A1 <br /> .......I../.I... <br /> EMBUILDING VALUATION OF TOTAL CONSTRUCTION L?76 0 <br /> =ELECTRICAL AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ...........................................D�.............. <br /> 4, <br /> BUILDER COMPANY <br /> REGISTERED I PY/ N SIGNATURE FEE CLJRREK. <br /> Address License# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN LY/N <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN N <br /> Address —1 License# <br /> ��_� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LYLN_j <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> 1 2 i i m 2 2 i 1 2 o 6 1 <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/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsAarge 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 /> 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 />