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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 rrrrrrrrrrTrr— <br /> .........=Z;Px= ......I........ L...... <br /> Owner's Name C G� Owner Phone Number <br /> ;e�s- - S� <br /> Owner's Address I 3ZL11 K6 eslplkl �/'(/ Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 32N r KleAl6lo LOT# L� <br /> SUBDIVISION PARCEL ID# .Z of_2L--Z 1--©104 0000 12..s-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q '/ FRAME = STEEL = <br /> DESCRIPTION OF WORK V r c �v C FmcC c�v/r <br /> BUILDING SIZE F FOOTAGE � HEIGHT (j <br /> iiiieligiii <br /> =BUILDING $_3/SO god VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = 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 DYES NO <br /> BUILDER COMPANY Bore Fe Ce <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN <br /> Address ,-0 ( l ifO License# F 6/1 7f.r <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY, <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J 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 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'Attomey(for'the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING. (CO py.0 con(ract'regiilred)'°`.i <br /> Reroofs if shingles Sewers Seivice'UpgradeS•A/G Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />