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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> r Building Department <br /> Date Received Phone Contact for Permitting F....... <br /> �[ <br /> Owner's Name D q 1)16 Owner Phone Number 5o 3—Fo —,3q I <br /> Owner's AddressF&7u5 Owner Phone Number <br /> Owner Phone Number' <br /> JOB ADDRESS 5315 E C4�(ok n —1) LOT# C� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> )PY <br /> BUILDING SIZE I —� SQ FOOTAGE 1 3 0 0 HEIGHT <br /> 5DBUILDING o0o.O'c"), LUATION OF TOTAL CONSTRUCTION <br /> AL $ <br /> =EI ECTRIC 1 AMP SERVICE DUKE ENERGY Q W.R,E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS � ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY Ho f"C 6VJfLt(SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> ...Address 4 License# F-- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_YLN_J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN LYIN J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED �N Y/ N FEE CURREN <br /> Address F_ License# <br /> Haiti!!! I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I m I I I I I I I I I I I I H-f <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 wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plu s 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&I 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 /> C n <br /> D r rections: <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 ne would be someone with notarized,letter.from owner authorizing si ai­­ <br /> me <br /> OVER THE COUNTER PERMITTING .,(pppy_pf,,cgritract''ie4bired) <br /> Reroofs if shingles Sewers Servic­0. grades�A,/_Llp 'Fences(Plot/Survey/Footage) <br /> . <br /> Driveways-Not over,Counter if:6,6,'p-6611C roadways.-.needs:'ROW" <br />