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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received (/I h� (' Z©I Phone Contact for PermittingrrT-rrrrrrrrrrrrrrr 1 3III, 310 <br /> Owner's Name p� -�, oL-A Owner Phone Number <br /> Owner's Address Fs 1 S_0 H 6Y) Z Owner Phone Number <br /> L 3 3S- Z Owner Phone Number <br /> G I <br /> JOB ADDRESS 3 —I SCE to r LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR R ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL 0 t1 <br /> DESCRIPTION OF WORK nSA-&,l L1A TH uh u't" Z- U h kuxi Jin,PLA <br /> 1 See r <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> i <br /> r7lI <br /> MECHANICAL $ UU VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY W B -Z 1 f1� J"� V�v but <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICALV1 <br /> COMPANY Sirylceg <br /> SIGNATURE REGISTERED / N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> ii SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> a <br /> r <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 constriction.- <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 Attorriey:(for`the"owner):would.be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copyof;contract.required).-':;: <br /> Reroofs if shingles Sewers „ Service lJpgrades.'A/C: FenGes.'(Plot/Survey/Footage) <br /> Driveways-Not over Counter if'drf pubi icl roadways..neeiis',ROW <br />