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813-780-0020 City of Zephyrhills Permit Application r ax-ti,i i-i ov-vuz 1 <br /> Building Department <br /> Date Received <br /> phone Contact for Permitting ...... <br /> Owner's Name N30VI 0 1 Owner Phone Number <br /> Owner's Addressl,39&-Z3 S, ON Owner Phone Number <br /> 33S 0 w6er Phone Number <br /> JOB ADDRESS v7J r i:5 zeOLt 33 J Y- LOT <br /> 1 <br /> SUBDIVISION 14416peyj I 0ev- PARCEL ID# I�7 /_1? 210 6>- 0191l5100 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> [�P 'CJ_;, >0_� S'c <br /> DESCRIPTION OF WORK 6 d <br /> BUILDING SIZE [ y J - ::� SO FOOTAGE HEIGHT <br /> ............... <br /> ILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY = W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> COMPANY OMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN <br /> Y L N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN L_yl N_J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYL/N <br /> Address License# <br /> H.++ I 1 2 1111 11111111111111111111111111111 1 m I I I 1 0 11 111111 11 1111 1 a I I I I <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 subdivisionsilarge 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&4 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 Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />