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813-780-0020 City of Zephyrhills Permit Application r-ax-wi i-tov-uuz i <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> TTrrr............. ............I......3�1 I I I r f. ........­111...... <br /> Owner's Name 1-Yi-k bau/--A 0Y OwnerPhone Number 117 <br /> Owner's Address A,60�D Owner Phone Number <br /> . 33 Owner Phone Number <br /> JOB ADDRESS 1_3O .qo AVE LOT# <br /> SUBDIVISION L fa A PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL F_ <br /> DESCRIPTION OF WORK RCM� <br /> BUILDING SIZE F_ SQ FOOTAGE= HEIGHT <br /> iiiiiam I tHi"" <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION (2-n <br /> =ELECTRICAL AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHH!HHH HH HHHH Hill!!HHHH HHHHH HHHHm HHHHHi III Him HH!I <br /> I <br /> BUILDER COMPANY k6lu " I I <br /> SIGNATURE C- A AM kl_�l REGISTERED Y/ N FEE CURREN Ly=N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L_LLN_j FEE CURREN Y/N <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 N <br /> Address License# I <br /> 1H!H!11 Him <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&I dumpster;Site Work Permit for subdivisionsAarge 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 hew 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 /> - ------ ------ --- - ---- - -- <br /> Fill out application completely. <br /> Owner&Contractor sign back of appli6afi6n,notarized <br /> If over$2500,a Notice of Commencement is required.;.4A/C.4pgrades over$7500) <br /> Agent(for the contractor):oeP6we4r?­ <br /> torqg (for,o notarized letter from owner authorizing same <br /> tr,the ctwh t).`w o6ld be someone with <br /> OVER THE COUNTER PERMITTING- <br /> copyW-Wr <br /> Reroofs if shingles Sewers .:,6eryice!Wpgrad6 A (Plot/Survey/FootagL,) <br /> Driveways-Not over C6jPtqr,if on public r6adw'­dyS.`h'eeds ROW <br />