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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received :�441,q 5 <br /> rrrrrrrr..........M"rrrrrrrrr= Phone Contact for Permitting <br /> Owner's Name 4-ar Phone Number 5 L 3 �Z 474_ <br /> Owner's Address 4-, 0. Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 3q L-( -3 l6 AVQ_ 7e— L kT _q LOT#�_ FL 335 _2 <br /> SUBDIVISION PARCEL ID#I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e <br /> ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL 0DESCRIPTION OF WORK Irspe-ckea +r-,, CIR—f PCL"-Zr 4kt-Kecl 0/1 <br /> BUILDING SIZE SO FOOTAGE 3 HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> �z ELECTRICAL $ 3 20 AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING r— <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address License# <br /> ELECTRICIAN COMPANY o <br /> SIGNATURE REGISTERED /V/ N FEE CURREN 1,Y/N' <br /> Address r,23 License# 12�CA3L)b�o-36 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N-i FEE CURREN LKLN_j <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N-i FEE CURREN LKLN J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN L_LLN__j <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)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 /> �41 111 11 i 1 1 111444444444444 ------1144:p:� <br /> on, <br /> DCti C s: <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 />