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813-780-0020 Fax-813-780-0021 <br /> City of Zephyrhills Permit Application , <br /> " Building pepartment <br /> Date Received Phone Contact for Permitting <br /> Owner's Name INchael VVhrefell' <br /> Owner Phone:Number <br /> Owner's Address 2-b : Kin h Y ! S Owner Phone Number <br /> , <br /> Owner Ph <br /> one.Number <br /> JOB ADDRESS (O Z i LOT# <br /> I <br /> SUBDIVISION PARCELID# d 3-26-21- 60)0-,6WW -00I0 I, <br /> (OBTAINED FROM PROPERTY TAX NOTICE)' <br /> WORK-PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE 0 SFR 0 Comm Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL Q <br /> DESCRIPTION OF WORK ins4gl1 neu) 200 ar„ 5e4 av HJ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT. <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I <br /> =ELECTRICAL $ 50,n� AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION "! <br /> =GAS Q ROOFING Q. SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE'AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y LNLJ FEE CU(RREt`Y./:N - <br /> Address License# <br /> ELECTRICIAN �i {�� COMPANY 1�d� c {"►rSt_(Gi1�PcMMC <br /> SIGNATURE ' J` REGISTERED Y J N FEE CtIRREt+ <br /> I c.C`dl7D25� l)Address � �/ �[(• hy►�w~f11� f-l- 33�(�. . License# <br /> PLUMBERF COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N' FEE CURREN Ly/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attacli':(2)Plot"P.lans;(2)sets•of Building;Planw,(1)set'cf,.Energy,Forms;-R-O-W°Permit for new construction,.. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wi 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)'wiorking days aftersubrhittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence-installed. _ J <br /> Sanitary Facilities&1 dumpster.Site-Work Permit for.ali.new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2).6ets of Engineered'Plans: !i <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 con or Power.of Attomey.(for the owner)'would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING! of.cantract`requlyd) <br /> Reroofs If shingles =,Sewers Service.,Upgrades A/C,-;;:=Fences(Plot/Survey/Footage) <br /> Driveways-Not over CdOntei'if on`public°roadways::needsROW <br /> ii <br />