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813-780-0020 City of Zephyrhills Permit Application <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> T-rrrrI......... ........ ...XtrErrZZ11333333333333�X11 1 1 1 1-1 <br /> Owner's Name b, I C, d Owner Phone Number I �01— <br /> Owner's Address[ of 6, /,/&Y- Ciq-o Owner Phone Number F <br /> F72_,�Avkt/s .i�- s-Li L Owner Phone Number <br /> JOB ADDRESS �/og I I Ve,-oeq v—s LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER OL &w G <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK acv-c- ui.510 _A01 r ,&- <br /> BUILDING SIZE F-42—W S. Q IC 1, SQ FOOTAGE= HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> [MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE 'h. <br /> REGISTERED Y/ N FEE CURREN <br /> Address J-_T 1_!S b &0 License# FCC2-'-t,) 2,1,j G <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address License# F— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURREN N L_J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ IN FEE CURREN <br /> Address License# [_ I <br /> I I I I I 11+ <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 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 /> ------- <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 of <br /> Reroofs if shingles Sewers See 7­�i contract required) <br /> r�6bl es d'*'-'-'kc (Plot/Survey/Footage)Driveways-Not over Counter if on'0613116 roq w;d", <br /> ays..,needii.'R !t <br />