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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 3 Phone Contact for Permitting <br /> rT77rrrT1rrrT71'r= ..............TrTrrYTT7"rrrrrr ...I........ ...... ............. <br /> Owner's Name _T0,VLA C60-_Z"IrE 5 Owner Phone Nu e iI Vct 1 72- <br /> Owner's Address D k,%, A-5 TF-P- Owner Phone Nu tber <br /> 12 Owner Phone Number <br /> JOB ADDRESS 29-ivef- ZeP` 9-t4iu-5 LOT# <br /> SUBDIVISION G7MOLA-f-, P0 I PARCEL ID# —7-1-00YO- 00000 CcC?0 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> (r2) <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY L gez)l?E-tc_ <br /> SIGNATURE REGISTERED FEE CURREN LYLN_j <br /> Addres License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# r <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY L� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j <br /> Address I License# I <br /> HHHHH HHH HHHHH!HHHHHHH! HHHHHHHHHHH! HH-f HHHHHHHH+ <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 /> ............ <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. upgrades over$7500) <br /> Agent(for the contractor)or Power-67 6 folr..the owner)would be someone with notarized letter from owner.authorizing same OVER THE COUNTER PERMITTING.;; • -(copy of contract reqUieedj,'Reroofs if shingles Sewers Service:Upgrades-.A/C F60ces{Plot/Survey/Fo6tage Driveways-Not over Counier if on public roadways'.':fteddi kOW­ <br />