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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Departmen!,' <br /> Date Received AF- ao.1-26 Phone Contact for Permitting s� <br /> 0 ' 2dA4 <br /> Owner's Name /60/ �a <br /> Owner Phone*Number <br /> Owner's Address 7 8Q I Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS A/// LOT# <br /> SUBDIVISION 'Ico)CWO 0 0,0 n kCIS I' PARCEL in 457t44(0 IQ 01340 00/0(5 /—/8 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM u OTHER <br /> TYPE OF CONSTRUCTION BOCK W FRAME EP STE�L <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SI FOOTAGE HEIGHT <br /> Wff*iiNg6W <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> EnMECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS CJ ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> " --ELBUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLN J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L)LL NJ FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN L_y N <br /> Address License# _L_j <br /> MECHANICAL COMPANY -"oc_ <br /> SIGNATURE REGISTERED LLHM I FEE CURREN I CV/N (/ <br /> Address I License# I K�4_C 0 1 <br /> OTHER COMPANY I I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> Address License# <br /> HHHHHHH-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/Silt Fence installed, <br /> Sanitary Facilities&1--dumppter;Site Work Permit for subdivisio,ns/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 /> .......... <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-tfie 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 AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs-ROW <br />