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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 9? - Fy?e <br /> .......... 02 <br /> 33: .... <br /> e y - <br /> Owner's Name 9, 14"h lgee-yl, Own ,l 9. <br /> Owner Phone Number 9 <br /> CA Ot <br /> Owner's Address 16 k4 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS W/o /-y LOT# <br /> SUBDIVISION PARCEL ID# D 111 0 0 6 1 0J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL F <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I SQ FOOTAGE= HEIGHT <br /> I— IBUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I i 2 i I i i i i i i i I i i i M i i i M i i 2 i I I i u i o v i i i i ff I i I i i i i I M i i i i i I m i i I M i i N i M a M I i i I i i i I i I I I i i i i i i i i i N i v i I i I f I i i i i i v i V i i <br /> BUILDER COMPANY I - - <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN__j <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L—j_/ N FEE CURREN LILN_J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_ILN__j <br /> Address License# <br /> MECHANICAL COMPANY <br /> vc:�, ow <br /> i <br /> SIGNATURE REGISTERED ICU N I FEE CURREN <br /> Address ZaAl?a 05 go/ -1 1 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN LILN_j <br /> Address License <br /> I I I I I I H+ <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/Slit Fence installed, <br /> Sanitary Facilities&I 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&I 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 /> 4 ....... <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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(fOr.theowrIer),wquId be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy contract required) <br /> Reroofs if shingles Sewers Service,Up'grades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />