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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> I <br /> Date Received 2�1 Phone Contact for Permitting — r <br /> Owner's Name GL(Pk 4'15akidra-MCA Owner Phone Number J�� <br /> Owner's Address 58), O �� Z_,_-r A .1 IS Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS ✓'3� l g s_r2 e r�r Il FL `335 <2 LOT# <br /> SUBDIVISION PARCEL ID# —°?&—,,2 -,60 0 0 7 ` Q0— 0/ o <br /> rr�� {OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK S�a!l n es,J yr ri'n n1 M ew, e s <br /> BUILDING SIZE F ] SQ FOOTAGE HEIGHT <br /> =BUILDING $�ya� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ I AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ n �qV <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /) <br /> =GAS ram, ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> , <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 1 License# <br /> OTHER ^ ° COMPANY rJ J e �C- <br /> SIGNATURE G REGISTERED Y/ N FEE CUR n Y/N <br /> Address License# CCC1, Sl <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. (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 Seniice Upgrades•A/C-._r.<F.-ence§,.(� t(Sunrey/Footage) u-- >;• .•_ :;a:,. ,_ <br /> Driveways-Not over Counter if on public'oadtiiiays.`.needs ROW ., <br />