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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received L <br /> M= M= Phone Contact for Permittinoig <br /> Owner's Name 9ne- <br /> Owner Phone Number Vka <br /> Owner's Address l Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS E; LOT# <br /> SUBDIVISION PARCELID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> FRI INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM u OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK LA I (!)kj�—k rq;:t y -F5a�1 <br /> BUILDING SIZE SCI FOOTAGE HEIGHT <br /> =BUILDING <br /> V n� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL'7.5 ':' AMP SERVICE <br /> T— <br /> FM) DUKE ENERGY W.R.E.C. <br /> =PLUMBING <br /> $ 71/ zef <br /> - L <br /> =MECHANICAL 9,N',, , *yl- O <br /> VALUATION OF MECHANICAL INSTALLATION CAL <br /> =GAS Q ROOFING Q SPECIALTY OTHER 04) <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER MPANY <br /> SIGNATUR REGISTERED Y/ N FEE CURREI` <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L_Y_L N_J FEE CURRET, L_Y_LN_j <br /> Address License# U_c000_Z570 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRErl Y/N <br /> Address & -TG 4--f, License# I � L4 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N <br /> Address License# X?,g 7/(q <br /> OTHER COMPANY <br /> SIGNATURE F_ REGISTERED Y/ N FEE CURREI, <br /> Address License# <br /> HHHHi HHHHIIIIIIIIIIIIIIf H!HHHHHH1111111 1 a 111111111111111 f+f I I I I I I I I I I I 1 2 1111111111111 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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2500,a Notice of Commencement Is required. (AIC 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 />