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813-780-0020 City of Zephyrhills Permit Application Fax-813480-0021 <br /> r <br /> Building Department <br /> Date Received F Phone Contact for Permitting — <br /> Owner's Name 7CAC_k :s .00,k side i•Ylpbl)Q Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS W-05 d 6 2-01 L'Ihnf.t St, is200 4 4,152 ?I-easG114 Sf, LOT# <br /> I <br /> SUBDIVISION Z01 ek's QeA k Side PARCEL ID# O D <br /> (OBTAINED FROM PROPERTY TAX NOTICE)sA Z�74—_�W-60 2iO <br /> WORK PROPOSED B NEW CONSTR R ADD/ALT = SIGN Q = DEMOLISH 0030-a—Do <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK r2 pi 61 f-C r o+4-f 0 i C <br /> i <br /> BUILDING SIZE 71 SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ®'€LECTRICAL $ Ov AMP SERVICE ��UKE ENERGY = W.R.E.C. <br /> 50®— <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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLLN <br /> Address License# // <br /> ELECTRICIAN �^ ,�/„ , COMPANY 'D N id RojAd Ek6ni CLOUS Oe <br /> SIGNATURE �1 REGISTERED Y/ N FEE CURREN Y/N <br /> Address 41 Be LRand 1 License# FeCG 61)-Z 5-7 LS <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> i <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 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 onsiite,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. (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 :,(cgpydof contract requited)S <br /> Reroofs if shingles Sewers Service,Upgrades.;A/Cj', ;.Fences(Plot/Survey/Footage) <br /> Driveways-Not over Countet_if•ori,public:roa`dways.:needs�ROVU It <br />