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813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021- <br /> Building Department <br /> Date Received .Phone Contact for Permitting -- <br /> Owner's Name P"fv PC- O 6 4"'P_,e-47' ;G2 Owner Phone Number 76 R <br /> Owner's Address 3S"? t 7 .5,gnol L' Al,e VA Owner Phone Number <br /> N+I)s, -f1 33Syt � owner Phone Number <br /> JOB ADDRESS 3 S I 7 rAPN_6 jPA L I" LU14y 11S XL/ LOT# 13 <br /> SUBDIVISION . J 4 L V rA(:Jp 1 q nc:, PARCEL ID# 0057a.) - (:2130 <br /> {OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 8 ADD/ALT C� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER,.. y►C . <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK Zt`1SCW k ae W -Qom /S.SA.Gf. a; Pi +V y¢G )Ixad <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ / / 3 DU VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL s AMP SERVICE Q DUKE ENERGY C] 'W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY u OTHER <br /> FINISHEb'FL'OOR ELEVATIONS � FLOOD ZONE.AREA AYES NO <br /> BUILDER COMPANY �GOhpm P,/1t',t LLG <br /> SIGNATURE REGISTERED I Y/. N FEE CURREN Y/N <br /> Address �a34 �'jg L E T rt J:r !r✓�'SL e^j �,�t�A EL f/ License# <br /> ELECTRICIAN COMPANY. <br /> SIGNATURE REGISTERED Y/"N FEE CURREN <br /> Address License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y L N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN <br /> Address License'# t <br /> OTHER COMPANY , <br /> SIGNATURE REGISTERED Y,/ N FEE CURREN <br /> Address. License# F , <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)setof Energy Forms;;R-O-W,Permitfor new construction, <br /> Minimum ten(10)woitking days after submittai"date. Required on site,-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 iristalleii, <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 /> 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/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> l <br />