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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> o Building Department <br /> Date Received • 'Z� -�( Phone Contact for Permitting O �-� ?77 _ 73 P,)— <br /> Owner's Name Q/ 1 G Z ST 1/�S! �^ Owner Phone Number <br /> Owner's Address G rot�� � - Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS :�Z /J7 / r e_ ST LOT# <br /> SUBDIVISION' aw 4 �/4 PARCEL ID# �U'�G —.2 J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> B• INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER I AJL.,01A1"1Ur1Z_ <br /> TYPE OF CONSTRUCTION = BLOCK r.0 FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> =BUILDING $10O0_D v VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ /, 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 ZONE AREA =YES NO <br /> BUILDER �,� f/ d-� COMPANY <br /> SIGNATURE � // REGISTERED Y/ N FEE CURREN Y/N <br /> Address l� �i/G - License# cS� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY±N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <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,Stonmwater 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. (AIC 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 n �SerIce Upgrades A/C Fences(Plot/Survey/Footage) <br /> ,n as�.r,,, <br /> Driveways-Not over <br /> pCountedff`on!p"dbfioroadways.ige'1 ds7ROW <br /> Bwry"•�v�P:i r:., "'.yF',•.�1,d..aa..•M.xh�,S,t�:,�'� f..' g mnno•{+ gv..`4i vR e/ � <br /> pp `` i. , i 'O+s�v1'' i�'�.l`.. .'•`..`o-'"-'•�1.�t)�J''�31 .1•J yr� <br /> °m''e^�vh1 ls`&1'H{.d1'I•dy,�tU dil>r.,('� P.t (` 1' ,P ,�$5'Yl� <br />