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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 <br /> ....... ..............rrrr=- ....................T.................I............­43= <br /> -- <br /> Owner's Name an Sib ke_S Owner Phone Number <br /> Owner's Address (ozz-7 �a_,_Ibaerl* Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 1O 2 LOT# <br /> SUBDIVISION PARCEL ID# 21 —00 20 —6 L7'b 0 0 <br /> (OBTAINED-FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWCONSTR ADD/ALT SIGN Q 0 DEMOLISH <br /> R . INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q Comm OTHER, <br /> TYPE,OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK Fs—e-picce basil -(wo !3c,nq ba s e, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT;] . <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> ©y '€LECTRIPAL 1$ 5 0 co AMP SERVICE DUKE ENER 'W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA .DYES NO <br /> BUILDER COMPANY I I <br /> SIGNATURE REGISTERED YVN FEE CURREN LY/N <br /> Address J License# <br /> ELECTRICIAN COMPANY -F7rT-t Cfa J,1 OCC-TIC.C (DOL4.4 HaWg'd&14�4) <br /> SIGNATURE REGISTERED FEE CURREN r Y/N <br /> Address, 1-71 Lf be-Lrt 33,!�Vo License# lEcoc)62570 <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN <br /> Address License# F__ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address F_ License# I <br /> OTHER COMPANY.. <br /> SIGNATURE. REGISTERED YJ N FEE CURREN. <br /> Address License# F <br /> RESIDENTIAL Attach.(2)'Plot Plans; sets of Building Plans;(1)set of Energy,Forms;R-O-W Permit for new construction, <br /> Minimum ten(10) 'working days after submittal-I_.date. Required onsite,Constrdbti�bn Plans,StoirmWater Plans wi,Sift 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&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 /> '4 Directions: <br /> = I 1 4 111 i 9 1 11 111 i I I I I I 1 6 11111 11111 i 1 6 1111 i I I I I I I I I I i I I I i I I I I I I I i I i I I i I i i I I I i I I I I I;I I I I I I I I I i I I I I I I i i I I I i I I I I I <br /> 0"ns. <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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Fo6tage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />