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11 7IV <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received .Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> Owner's Address vot Z.'3 (QM Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS ( S ST �Q ' lt4 FL 33 S�2_ LOT# <br /> SUBDIVISION "w>ras AO PARCEL ID# t — 0% ( `V ^00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL, REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Q <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ 'l 6©® VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL. $ _l D AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 1�r ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL 1 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY SVv%q'e Chatc. vo �, <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY±N <br /> Address License# <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/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work•Permit for subdivisions/large projects --- <br /> COMMERCIAL Attach(2).completersets 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 /> If 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�hingles >-Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Diriyeweys-Not over Counter if on public roadways..needs ROW <br />