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813-780-0020 City of Zephyrhills'Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting 1( <br /> - <br /> Owner's Name 66��aK�-/ YV V00� Owner Phone Number <br /> Owner's Address i L 2( mat Zxl�P j L vTz Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS gklf �o 2 LOT# <br /> PARCEL ID o) <br /> SUBDIVISION # 6/v- <br /> Oroo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR a <br /> ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR F7 COMM OTHER IR-e/mo <br /> TYPE OF CONSTRUCTION BLOCK ffQ FRAME STEEL <br /> g rl <br /> DESCRIPTION OF WORK 9 2�ellmf-ra -A��SU-171t re 744,1 t1-14 e/>'WA��r) "L44,1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHTF_ I <br /> =BUILDING <br /> >I (0 Le) VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> 1 1 1 2 1 1 1 1 1 a 1 1 1 2 11 <br /> ly <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L)L/N <br /> -Address License# <br /> PLUMBER COMPANY L <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED [ Y/ N FEE CURREN <br /> Address License# <br /> ow <br /> , L <br /> OTHER COMPANY 6W <br /> SIGNATURE 2 2 y REGISTERED FEE CURREN <br /> Address 33 License# =e-cc# 0 <br /> HHHHH 111 1 il 111111111111111 H-H 14`41 I I I I I I I I 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 w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivislons/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 °'(dopy,of'coritract required) <br /> Reroofs if shingles Sewers ervice- 0grades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if,on pdbllb1:r66dWays.:needs ROW <br />