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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 /> .................... ...... ................ .. <br /> L U 1 - " <br /> Owner's Name CNY-i 013 N Owner Phone Mber <br /> Owner's - C Owner Phone Nu mber <br /> Owner Phone Number <br /> II <br /> JOB ADDRESS .335 S_Vhc, — LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER F-7 <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK lk.=). of 7' Wi FeJ\c_e_ 3- &McS <br /> BUILDING SIZE F ISQ FOOTAGE HEIGHT <br /> =BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE DUKE ENERGY W.R.E.C. <br /> 1$ <br /> =PLUMBING <br /> =MECHANICAL $ 7 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 'Inr,- rom �e 4er�rc_ <br /> SIGNATURE REGISTERED Y/ N FEE CCLIRRiff-F!, . I Y/N <br /> Address Lic'erisel 4 <br /> ELE"CTRICIAN, COMPANY I <br /> REGISTERED I Y/ N FEE CUURREN L SIGNATURE /N <br /> Address License# <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LaLN <br /> ii <br /> Address License# 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License�1# r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE'CURREN <br /> Address License 1# <br /> H+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 I I I <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 />