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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> l <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name M ( �l-• (�� �L l"E Owner Phone Number <br /> Owner's Address 5c.,x1 23x4 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 5��1 Z3rC S�QO- • �=L 33SLh, LOT# <br /> SUBDIVISION PARCEL ID# 12-' 2�v•2�• 001A' 010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM . = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 1R 0_iy- s (M (A afM Y1�S21r- <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL $ c� AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ i <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (✓ pv <br /> 62-2 <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 LLN <br /> Address License# <br /> ELECTRICIAN n COMPANY C-CATi Cdt -LAC-- <br /> SIGNATURE REGISTERED I CYY N FEE CURREN �i /N <br /> Address oo(oa License# t fibs <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 Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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_P_ermitforsew construction. j <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 /> Directions: <br /> Fill out application completely. j <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requlrEd:'- ( C::upgrades over$7500) <br /> " Agent(for the contractor)-orPower=of•Attorney'(f&th,,`"h6rj.would-be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING;. (Copy„of.00n't act i'equired) <br /> Reroofs if shingles Sewers Servi e`�llpgeadeis.A/C.z s Fences(Plot/Survey/Footage) <br /> Driveways-Not over Gounter'if"on.pu,blic.roadways..needs,ROW <br /> i <br /> I <br />