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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received I y Phone Contact for Permitting - <br /> ll <br /> Owner's Name iG►+r7►^CI D&-He 1IeN P- K`j N e Owner Phone Number ��-� ' 7&- 342/9 <br /> Owner's Address ��� ST e 1 ePS 1 Gc7 4 Owner Phone Number <br /> ge PAi N5 Ft 4 33.6 yo2 Owner Phone Number <br /> JOB ADDRESS `p 26,;� S Te IL^AJS P'l LOT# <br /> SUBDIVISION 1-5,Tp le Pis l9'�j�4?S�'/dP/M1 PARCEL ID# o3-" 26-a/�0160`OOO DO- d 33 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Qn BLOCK G 0 FRAME = STEEL <br /> G � = <br /> DESCRIPTION OF WORK P�� �aced ec !lG Ajct`TP/ geciW/ SQ/ne /ocej iDA✓ <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> [X PLUMBING $ 580, - n/r <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION !/1 <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY A1v TiM�.plu�►bi��D7lt'N1/Z!L �Gy��ICt <br /> SIGNATURE '`,/ 1 REGISTERED / N FEE CURREN Y/N <br /> Address 4*o &wd 4'1,QEe.5 13/vd I L fL 31/4,3 License# I C FC— 1 qZ 9a 3 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address F License# <br /> I <br /> i OTHER COMPANY <br /> h, SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> i <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 fot.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 Noti'�e of Commencement,is,required.."'(AIC upgrades over$7500) <br /> ** Agent(for the contra4ior)or'Rower'of Attbrney(forfthegwrier)wYb ld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING.,,� ,,. (copy,of cbntract'required); <br /> Reroofs if shingles Sewers; .Service:Upgrades,.A/C.::.-':;Fences(PlottSurvey/Footage) ' <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />