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813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ?67 <br /> Owner's Name p oE P LLK Owner Phone Number -704.1 qgj <br /> Owner's Address FJ z '7 aL Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS (�Jroa_c , Die. LOT# <br /> SUBDIVISION PARCELID#F <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR F7_1 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OF WORK F—Aic c-i �G�(:)Lri 7 X12- —76—)J <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY I <br /> SIGNATURE u REGISTERED Y/ N FEE CURREN LYLN_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN L _LN__j <br /> Address License# <br /> MECHANICAL COMPANY Ti Alc <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address ISLO2 45-SAG PC Ltxl License# CA< i I ILA 74oq <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLNL] <br /> Address License# I <br /> HHHH! I I I I I I ff+ I HHHHHHHH+ <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&1 dumpster,Site Work Permit for subdivislons/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 wl 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. (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 r6adways..needs ROW <br />