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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivdd Phone Contact for Permitting <br /> I I I I-I I LLA444J.L" ­rT1=T-1QXI-11­Jivi­ il....... <br /> Owner's Name Uorlps LOoe2 k*)QS0r1Q AYC Owner Phone Number 71 <br /> Owner's Address (OU PCIC[ -1 2+ ZO-7U <br /> ej-) Z)he�fl Owner Phone Number <br /> Vrh'( 113, i:7L Owner Phone Number F_ <br /> JOB ADDRESS 11CT7 f�Wfn &e(?A Zgphyrki I Is PC LOT# <br /> SUBDIVISION �Q O 802eh PARCELID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Of- c� R-y-n q f 4 -1 c,6T aw S+y <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL r AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ 1 <br /> =MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Lyj N_J <br /> Address —1 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F__ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED L_Y±N_J FEE CURREN <br /> Address License# F_ <br /> MECHANICAL COMPANY L_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY LN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN .L_Y_LN_j <br /> Address License# F <br /> I I H­f HHHHHH ... <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 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 /> ------ ............... <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 />