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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 <br /> Owner's Name by--� UJ-"Dii Owner Phone Nu 9 <br /> Owner's Address D 1:_::-P__x1 L Owner Phone Number <br /> Z. PIL14fiff-L FL- 335 Owner Phone Number <br /> JOB ADDRESS 35Z> L-AqW,--- Zt-PqJRJL(_,ZJ LOT# <br /> SUBDIVISION I ee'01 rZA&f�\ 10V)t\,fiC— JO PARCEL ID#Oc/ t - C000— C-)cy-ycv— 0a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK A) 57741-1 0 a 9 4 rf o 'D L <br /> BUILDING SIZE 7 SO FOOTAGE= HEIGHTF_____ <br /> 4 <br /> UILDING eo VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 - SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS -7, FLOOD ZONE AREA =YES NO <br /> ...................... <br /> BUILDER eOMPANY d /—/r".0 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> .PLUMBER COMPANY L_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY FEE CURREN <br /> SIGNATURE REGISTERED <br /> Address License# <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 subdivisionsfiarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-Q-W Permit for new construction. <br /> Minimum ten(10)working days after submittal dife�. 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 /> '41gC4ttl4l I <br /> ---- --------- <br /> D Ions: <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(Plot/Survey/Fo6tage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />