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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> .............rf7,rrrf .................I.T." <br /> Owner's Name G kffimk Vi eA 6 Q 7,Y11%" Owner Phone Number <br /> Owner's Address s,34 t 9-r,S� Owner Phone Number <br /> FL, 33SI Owner Phone Number <br /> F <br /> JOB ADDRESS Fi 3 Ito\S�. Nh ,VW , fl-3 3n 1 LOT# <br /> SUBDIVISION PARCELID#1 I k-V�- ?/(- 1"0- )LIG\7'0 0 001:57 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRF__1 ADD/ALT SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> E� <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OF WORK l h wo-u <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> [2(MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYIN J <br /> Address 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 CURREN L_y_LN_J <br /> Address License# I <br /> MECHANICAL /yam COMPANY 0 ht NAir­ <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address 5-va8 N. SM" 9V#TUq(kj FL- 33ko License# 0 5 g a 0S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_YLN J <br /> Address License# I- <br /> HHHHH !HHHHHHHH- <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 subdivisionsAarge 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 -------------- 411 1 11111111111 111111 i II H II i 1111 <br /> : <br /> Fill out application completely.. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is require,owner) <br /> d, (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attor�6yff,-or the ow n er)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy­of'contract required) <br /> Reroofs if shingles Sewers,�,; _,Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over CoUnterif on;public roqdways..needs.RQW;'�' <br />