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$13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> / -- <br /> Owner's Name Gl G b0/0"e Owner Phone Number f3 —301(l <br /> Owner's Address 3603 /74bG ld6l 0/1ok--� Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 3 /'i dot lde' q LOT# <br /> SUBDIVISION ►'/l�011�1 I0(K PARCEL ID# 2-S Z ,h'o�)-00GO.SZo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF'CONSTRUCTION 0/ BLOCK 0 FRAME = STEEL Q <br /> DESCRIPTION OF WORK 6 d-L l ' �4 r (- Ave A,14r-e /0 ' �-v 6' <br /> BUILDING SIZE OOOTAGE[� HEIGHT <br /> =BUILDING $ L) VALUATION OF TOTAL CONSTRUCTION_ <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I� /) .✓ <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ��/✓►C ��e <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address /�v �G�l�/a �-'E°� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> Ir <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 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 /> iiiiiiiiiff <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. (AIC upgrades over$7500) <br /> (for the owner)would be someone with notarized letter from owner authorizing same <br /> _Agent(for the cont�actor)or Powq�(?f Attorney . <br /> OVER THE COUNTER:PERMITTIN'G`•= (copy;,gf,contract required) <br /> Reroofs if shingles ' Sewers Service:;Uggrades=A(C: Fences(Plot/Survey/Footage) ' <br /> Driveways-Not over Couriter`if'on public'roadways.:need,s.ROW <br />