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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 F ......... <br /> .............. <br /> Owner's Name RI A114 11/k - - Owner Phone Number 0 3-...2 179-2-ISO <br /> Owner's Address F31103 I le'5 lh K00 L-41 Owner Phone Number <br /> _771 Owner Phone Number <br /> JOB ADDRESS 3(--3 7:1 LOT 9 <br /> SUBDIVISION yiqUell PARCEL ID#12Zf Z 000-CO&Oc)-IRO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK i9ele C-C 14�2- <br /> BUILDING SIZE F_ I '4—FOOTAGE HEIGHT <br /> =BUILDING. 32- VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ................ <br /> REGISTERED Y/ N FEE CURREIN L��N <br /> BUILDER COMPANY <br /> SIGNATURE I - ( <br /> Address License# 1 /17/5- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREIS <br /> Address License# F— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh <br /> Address License# F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LY2 N J <br /> Address License# F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREIN <br /> Address License# <br /> H+f- HHHHHHHi I I I I I I I I I i I I I I I I I I I I I I I 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 wl 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 /> 14 1 i i i D "V=4ons. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomayffor.the-owner)would b6sfdm6"ih notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contraZIreqU6ed)' <br /> Reroofs if shingles Sewers Service Upgrades Feric"6S(01o1;/S4!vOy/Fpqtage) <br /> Driveways-Not over Counter If on public ro6dwivi..n6eds ROW,, <br />