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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Sig��� Phone Contact for Permitting F mx q <br /> U Z Orl S�nhtn5v InOwner Phone Number <br /> Owner's Name <br /> Owner's Address I �v`� Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS f 3J-V3, LOT# <br /> �i and S44visio, 9L Poza Pfrlr <br /> SUBDIVISION t-.t 137 A 9 31.) (r3 E S O PARCEL ID# a�` ��� -�2 j�" l?�oo o- I37 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME 0 /STEEL 0 <br /> U aln P(L1G��ORnWc�tSGOctvCv�� dday <br /> DESCRIPTION OF WORK 4X ` dLt�.•S�Oh �`4 t U"'>t wl{t' t or(-�n�u�+ �ru„ <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �EL'ECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E. . <br /> '10•J0 <br /> =PLUMBING $ <br /> qq <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address /Inn License# <br /> ELECTRICIAN ��, 4WAba� COMPANYSIGNATURE REGISTERED Y N FEE CURREN /N <br /> Address 5?09 N S-03f•-Twwp a,,FL 33660 License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LWI N <br /> Address I License# <br /> MECHANICAL �j 14-pQ, COMPANY Ont- i�4✓ <br /> SIGNATURE / REGISTERED / N_J FEE CURREN N <br /> Address ,S MY IV,S;-AA Ta w 33610 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I 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/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/Silt Fence installed, <br /> — - - Sanitary Facilities.&.1.dympster.SitQ 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.publio"roadways..needs;ROW <br />