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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> ................ .......... <br /> Owner's Name AL4,11tw Owner Phone Number <br /> Owner's Address 1 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT 9 <br /> SUBDIVISION F5,1vz4 PARCEL ID# y a 47 0o 5/0 Q 06o0 <br /> (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 OTHER 11,4(Z <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK .2. (;4on <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> QVIK-1 MECHANICAL 16 303. VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING F__1 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -'BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILNLJ <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# [_ I <br /> MECHANICAL COMPANY A Af C-, ,�a I <br /> SIGNATURE 41eo REGISTERED CY-P N FEE CURREN N 1 6/ <br /> Address a, License# I cnw(fo —- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN N <br /> Address License# <br /> HHH! HHHHHHH-H, <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/Slit 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 /> I= <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 roadways..needs ROW <br />