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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 3767 <br /> Owner's Name ftLOA TO-tq Owner Phone Number 13 7 8,;Z 7.Z�I <br /> Owner's Address[—F 0 13 C7. 1,63:2 Owner Phone Number <br /> _�353�1 Owner Phone Number F <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL 1D# 0 0/0 Q�6,-00 0 /10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONISTR R ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK 0 1 CL C e- I_Lt Y-a I AC 2 112-6AJ ) q See Y- <br /> I <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING , 1$ <br /> F521MECHANICAL L VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 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 I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL j <br /> OMPANY t-hiae-Contro <br /> REGISTERED l <br /> SIGNATURE L�:Y <br /> 4 N FEE CURREN LY/N I <br /> Address WJ I a Inp, 1336,11 License# Me oa 13 Kn <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> HHHH( <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 /> 1;!11 11 ppr�........ i:PI44444444444-. 1 <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 the owner)Would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract'r6quired) <br /> Reroofs if shingles Sewers Service Upgrades A/C. Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadw a.ys..needs ROW <br />