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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 7 <br /> Date Received Phone Contact for Permitting 1 — �C) <br /> Owner's Name 1Q1 of 6f1 -L �JVG� Owner Phone Number '-iv-6 - o� <br /> Owner's Address �a►y !J�t L�C- Owner Phone Number <br /> 7,e.phtI(In'as FL 335�4 � Owner Phone Number <br /> JOB ADDRESS `i 1-1 JITeA:- 1616 FL 3 G4--L' LOT# F <br /> SUBDIVISION PARCEL ID# `l '2(o'11'001o'0 NCO'0040 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK �X��Q. ri5 c� V�)n <br /> BUILDING SIZE So FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ f 9s Oo AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> 1 � <br /> =PLUMBING $ D , <br /> =MECHANICAL $ 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 Y/N <br /> Address I License# <br /> ELECTRICIAN /, -_ ` COMPANY Reece UZLtYl CA.J `1-f 14 <br /> SIGNATURE ��V� REGISTERED Y N FEE CURREN I CYY N <br /> Address PO 16131A ` 631 ?_,WX144h116 FL3353q•o b License# 1300 5 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I 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 /> 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 Attomey.(for.the:owne'r)�would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING " (copy ofcoritract required)' ;. <br /> Reroofs if shingles Sew ersyi Seivice'Upqacles`i4%C` Fences(Plot/Survey/Footage) <br /> a; S <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />