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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 /> Owner's Name Owner Phone Number <br /> Owner's Address 23 5� �'(� P©!J 7 Owner Phone Number <br /> S Owner Phone Number <br /> JOB ADDRESS TJ f 3 LOT# <br /> SUBDIVISION PARCEL ID# �Z�' —�` " 00((0"(77ofl — OL-) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK S �c�a u�2 ASPS � 1:w 6,'5--S <br /> 16S� Sk�Ng/e c <br /> BUILDING SIZE F7 SQ FOOTAGE -ice s HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ /7 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> C1 � <br /> OTHER <br /> ROOFING SPECIALTY v 1 <br /> GAS = ,© _ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURREt` Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREr, <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI` Y/N <br /> Address I License# <br /> OTHER Gw. COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREr, I WIN <br /> Address �� T'� U V License# <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 /> Fill out application completely. <br /> Owner&Contractor,sign.back of application,notarized <br /> If over$2500,a Notice of Commencement is required: I[AIC 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'` `'-;..-(dopy-of.00ritract required) <br /> Reroofs if shingles Sewers..._. .. Servide'Upgiades,A/C`: Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />