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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received '5-/ Phone Contact <br /> ontact for Permitting <br /> ................. <br /> Owner's Name R'D cq Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS co LOT# <br /> SUBDIVISION PARCELID#F <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL R REPAIR <br /> i <br /> PROPOSED USE = SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL <br /> N <br /> DESCRIPTION OF WORK r lA (3 Q* <br /> BUILDING SIZE F— SCI FOOTAGE= HEIGHT <br /> ........... <br /> MBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> F" <br /> ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> !HHHHHHHHHH `4411111441 HHHHHHHHHHHHH HII HH H!HHH11H HHHHH!I H I lit HH I <br /> BUILDER COMPANY I I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address' License# I I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> —Address License# Fecot)Z)25-70 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> I I <br /> SIGNATURE REGISTERED Y/ N FEE CURRR� Y/N <br /> Address Ile 1�r V/ 4 4,v License# F4:—f,4 4,0 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED LYL N J. FEE CURREN <br /> Address I License J <br /> 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 w/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 /> ...... . ........ ....... ..........------ --------- <br /> Direcftons* <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(PlottSurvey/Footage)' <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />