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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 L�'�3 <br /> ...............Owner's Name..........TT77M......I.......13T L I 1 0:1 Owner Phone Number TTT71=6 ,D-. . I I <br /> Owner's AddressFG 6 ,��X ( C>2 D, Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 3 7Y-Z L *9 LOT# <br /> SUBDIVISION PARCEL ID# 0 2-(, Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRJEJ ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OF WORK F <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> I I IJ411 <br /> .Nh7BUILDING <br /> 1' 7+3 r7 0'�' l VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED �N FEE CURREI, <br /> Address F_ License# <br /> OTHER COMPANY t i!)4 '(/J <br /> ji SIGNATURE REGISTERED Y/ N FEE CU­RREhF Y/N <br /> Address License# I 0-C C <br /> H!HHH III,IHHHH <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(1 0)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 /> ziiNsiiai .......... <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:,: ,,,,'(co.oy-,of,contraci required) <br /> 'k6 ". .Fences(PlottSurvey/Footage)Reroofs if shingles Sewers Upgrades: <br /> Driveways-Not over,!C9qqter,ifon public!roidWags..n6e,ds.Row <br />