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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting V <br /> Owner's Name 5 Crp.ok I I I I I I I 1,rrTrT`M Owner Phone Number q6 1,39Z <br /> Owner's Address O52 wire Rol �2,1qa;)Jj Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 1 -7-052 Nwe LOT# <br /> SUBDIVISION PARCEL ID#[,35-25 -21- 00)0-1166D—60 3 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL J=J REPAIR <br /> I C- <br /> PROPOSED USE I N SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL <br /> . <br /> DESCRIPTION OF WORK Ireloco. 200 avrip VX1dtrJrVVd) Seri.,)ce ct reeG)—ec-t exIsf,,-,f elfe-tl of ot <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ <br /> AMP SERVICE E::<�DUKE ENERGY W.R.E.C. <br /> 1 650" 1 <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING F--1 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LY/ N I FEE CURREN L_YLN J <br /> Address License# <br /> ELECTRICIAN COMPANY H6=rj4 (04'&y &?e g7fi-i-c <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_y <br /> I N <br /> Address /I PJ License C-0 000 _j <br /> 2-5-?0 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L_YLN J FEE CURREN <br /> Address License# <br /> OTHER COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> !!!!III!! HIHHHHHHHH++ <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 construction. <br /> I i I I I 14i i I i I I I I i I ..........I-I I I I I I I III I III I—14444444XIZ14:� <br /> Directions: <br /> 1 <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 (copy of contract required) <br /> ReroofsIf shingles Sewers Service Upgrades A/C,.,. :-,'Ferrces.(Plot/Survev/.Footage) <br /> Driveways,-Not over CoUriterifofi public roadway g::needs ROW <br />