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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> .......... rrT= .... .... <br /> Owner's Name 4308610E G rd Owner Phone Number <br /> Owner's'Address[ rh Owner Phone Number <br /> zu?A KA S35141-' . 4110' Owner Phone Number <br /> JOB ADDRESS 38 5 Y9 .6 LOT# <br /> SUBDIVISION PARCEL ID# 2C <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION' 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK cl—t t"C% r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> 'o— <br /> F521 ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> ©PLUMBING <br /> [MECHANICAL 1$ <br /> / I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER c/0 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES <br /> co 0 <br /> BUILDER WC-S IfFy COMPANY C�OAIT'1 . <br /> SIGNATURE I REGISTERED Y/ N FEE CURREN L11 N_J <br /> Address 12Clig j1D1r1Jr= kA-101( -Oe- License# <br /> COELECTRICIAN I COMPANY ZkffA� 'A.,4 C-C> C�,AY e- <br /> SIGNATURE REGISTERED LQ 2 FEE CURREN Y/N <br /> Address F License# <br /> PLUMBER A-It <br /> SIGNATURE <br /> REGISTERED Y/�g FEE CURREN Y/N <br /> Address .7A W, I-&z 33s4r License# <br /> MECHANICAL A10 4le- 0 A COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN_J <br /> Address License# <br /> OTHER COMPANY L— <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN_J <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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivision s/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 /> —Reroofs4,shingles—--Sewers— -..Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> ,.Drivewavp-,Not,over Pounterlf oil`public roadways..needs ROW <br />