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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Pate Received Phone Contact for Permitting ........TrrrTTrr <br /> -JJJA44A.L" <br /> Owner's Name Owner Phone Number 2 7 <br /> qn <br /> Owner's Address lq L,- Owner Phone Number --3 <br /> ow-Atedl..', :3 zzfp/-.(c) I Owner Phone Number <br /> JOB ADDRESS 134905 2- Rc>4 LOT# <br /> SUBDIVISION PARCEL ID#10 7- —2(0'7-1—6 C>IC> 00 S'DC>—00 11 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL E REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK 1 C, LL) fe- Pe_V-\QS, <br /> BUILDING SIZE So FOOTAGE= HEIGHT C� �A'"f` <br /> =BUILDING $ 2ool 0 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> i i i 6 i i i i N i i i 2 i i i i/ <br /> CO <br /> MPANY <br /> OMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <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 L_KLN_j <br /> Address License# <br /> HHHHi H 1+11111111H 115111111111 H HHHH 11 HHHHHHHH!11 1 HHH!+ 111 HHHHHHHHHH! <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&I dumpster;Site Work Permit for subdivisionsfiarge 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. (AtC 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/Fo6tage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />