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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 2 <br /> Date Received —� .Phone Contact for Permitting <br /> Owner's Name -AAA M BE,ptT t Owner Phone Num 2"I <br /> Owner's Address CQ v4 12s,c-0 N TQAT L S Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS lY lf�� 1 W A6L T72A 1 S) Z E P V4 k =i- LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR ADD/ALT SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL Q <br /> DESCRIPTION OF WORK 1I SSTR LLp.-.O N o f Pr ROOF- M bU N Ta P HOTOVO LTUC �3 0 UA Z <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT ' <br /> BUILDING $.0 Or I r_,$Q VALUATION OF TOTAL CONSTRUCTION <br /> dLECTRICAL Ito <br /> I �� AMP SERVICE � DUKE ENERGY Q W.R.E.C. <br /> G 7, 13� <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '" " ��q. � <br /> (�'V <br /> =GAS Q ROOFING 0 SPECIALTY OTHER L <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> Hiiiiiiiii H�M i i i i i i i i i i i I 1 '(74 1........... i i i i I i i i i i i i i s i i I i I i i i o i i i i i i i i 1 1 i i i i 2 i i i i i i i i i i I i i i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 2 Y/N <br /> Address s4 60 VJ - } N K f - M P L License# ( J d o d <br /> SELECTRICIANIGNATURE /7r,� REGISTERED =_Fq Y (�rT So FEE RA •D EN L1 IvE <br /> Address U v W l'N 1\ fA Av C— .TA M P FL License# eC��00&-1 <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 I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 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 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&'Cohfractor sigrrback of application,notarized <br /> If over$2500,a Notice'of Commencement'is:required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)`oor Power oP Attorney„(forthe owner)would be someone with notarized letter from owner authorizing same <br /> i : <br /> OVER THE COUNTER PERMITTING.,, , a;.(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 />