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813-780-0020 City of Zephyrhills Perm itApplication Fax-813-780-0021 <br /> Building Department <br /> --Date Received Phone Contact for Permitting <br /> Owner's Name 17c,All,0 Z_D4"r) I Owner Phone Number E03 c�J 7 <br /> I Owner Phone Number <br /> Owner's Addressl <br /> _�q2 -rhd 13 i4 3,55 Owner Phone Number <br /> F <br /> JOB ADDRESS 1, q 7-Hi )q-Ve- Z�A4A- 111S , Jcl -6�M242=� LOT# <br /> SUBDIVISION PARCEL ID# ­,4) —OD4A—Q 10 OL — GX0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTRF-1 ADD/ALT SIGN DEMOLISH <br /> INSTALL F__1 REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK zaao I-S <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT L <br /> 2 i i i <br /> BUILDING $ VALUATION.OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING F__1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1 1 1 2 1 1 ff 1 1 1 a a 2 2 1 2 1 2 1 1 1 1 0 1 2 a a 1 1 0 a 6 1 1 1 0 1 a G 1 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_X_LN J <br /> Address I License# <br /> I I I I H-tf f 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 I I I I I I I I I I M 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 <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/Slit Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislonsAarge 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 /> .......... <br /> " "' <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. (AJC 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 /> J. <br />