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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department /„ a <br /> Date Received phone Contact for Permitting (�� 3 6 0 -- 7 <br /> Owner's Name <✓ L� 2 f' �� �/Z �U�1 Owner Phone Number <br /> Owner's Address 5 �/IiIA�,�oSE �cL:eJ6e1-6 Owner Phone Number j <br /> r�W `L 3ie T Owner Phone Number <br /> I <br /> JOB ADDRESS 1�46 4 "Ig� l-GGS , 5515:1 Z' LOT# <br /> SUBDIVISION �r� OG �f'�f`99iZ1�/ PARCEL ID# G'C 6616 .' `6 1 7G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN � � = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL <br /> � _/uCA1P_.& 'rJ CCL 5`* ­e- LTGLt (,V �z /457i . �'77i 7� Tr-fl'S N <br /> DESCRIPTION OF WORK �, 3a--46 -e i (� V rLPi r&1_ Z '� /��6 M= <br /> BUILDING SIZE SO FOOTAGE �6Vv HEIGHT <br /> UfLDING Is �[� - VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 0 I�DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ '�/ 1I Cl v <br /> PO <br /> b <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 14ROOFING SPECIALTY = OTHER " <br /> FINISHED FLOOR ELEVATIONS ,r FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI` <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED f Y/ N FEE CURREN Y/`N�' <br /> Address 7P� 33 / License# EEi5 qv,<- <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&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 public roadways..needs ROW <br />