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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 /> ........... ,,, ,I...... Z/— 11 :I:E=.............. <br /> Owner's Name S A zf 7o-ro Owner Phone Number(I(91s- mg-Z-6q <br /> Owner's Address q,�-b /�e,044 d1l Ave- Owner Phone Number <br /> (6 3 3 `Z_ Owner Phone Number <br /> JOB ADDRESS -M qse 3 S-tl LOT# <br /> SUBDIVISION 11-illColpi gptS PARCEL ID#1 12 OZbo- 00000-Awo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED r:7;rl NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> Fil INSTALL REPAIR <br /> PROPOSED USE Q SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> 20 f1f 6 I 0 F-6 <br /> DESCRIPTION OF WORK mIA WA,-%AC.A M, W/" 1.1ovd <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> PZ;�71BUILDING $Zap �V'AW-TION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Amp SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> [MECHANICAL VALUATION OF MECHANICAL INSTALLATION flO eie-r-llp (7CON'MIT$ M <br /> =GAS ROOFING SPECIALTY OTHER den;loy- (4e#-k--C,-A r-a.- 4"y <br /> FINISHED FLOOR ELEVATIONS —7] FLOOD ZONE AREA DYES NO <br /> ............I..Illlillllliliillil!lillililii!fll!ii!!Ili!liilll!il!-lilliilll!!Iii!llf!!!Il!!Ililll!i!lllmlssllmi!!IlI <br /> BUILDER COMPANY 4q�e of&4%rd- <br /> SIGNATURE 04 REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> MECHANICAL COMPANY = I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> HHM"H HstHHH Hit H11111slisall HIIH <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/Slit Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit <br /> ermit 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. (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 />