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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> c <br /> Date Received ((_ Phone Contact for Permitting <br /> Owner's Name Q—Okv) L 7i l— Owner Phone Number 73 07 <br /> Owner's Address -3 Ks—z!5 Z- Y 1 e o m 0vi J`7v,e— Owner Phone Number �— <br /> C� �1 Owner Phone Number �^ <br /> JOB ADDRESS �C?` ! M d /TV LOT# C� <br /> SUBDIVISION Ut I t� � PARCEL ID# �S�+ -I-00S —0Qd OQ --B,ffo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 8 ADD/ALT �� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK C] FRAME STEEL <br /> - � { tl Q <br /> DESCRIPTION OF WORK ' �, 1lL 9Gttn ell <br /> BUILDING SIZE 1,64 FOOTAGE 1192 ` HEIGHT <br /> =BUILDING $ L wa D U VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA =YES NO <br /> BUILDER COMPANY 14 e w C Fen c, <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, Y I N <br /> Address �� � S �� f' License# 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREI, Y I N <br /> Address License# F — <br /> MECHANICAL COMPANY L— I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y J N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I N <br /> Address License# I _ <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 /> 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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />