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813-780-0020 City of Zephyrhills Permit Application Fax-813-ttsu-uuz-i <br /> Building Department <br /> Date Received h Pone Contact for Permitting <br /> ....I. ... F( ,.-. . <br /> Owner's Name 01-(Aq 1J0,rIkCt4- Owner Phone Number 6 7JT�02 <br /> Owner's Address _3 JfT /400/1/61 140110-t,- ba Owner Phone Number <br /> OkF—L 3 -t�2 J Owner Phone Number F <br /> F <br /> JOB ADDRESS SC I/O e LOT# <br /> SUBDIVISION PARCEL ID#1 2i�-2--6-2-1-00?-0-000690-0370 <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 F--] COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK PVe- it c),- 'LlYM! XF9 A, <br /> BUILDING SIZE (�PFOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 146'1-1 F -e(i c <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Ta ' License <br /> Address F 147,,7d 1,,f, <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Lyl N J <br /> Address I License# F- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address u License# <br /> MECHANICAL J COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y1 N FEE CURREN LX±N J <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 wl Slit 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 wl Slit 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 /> I I I I I I I 1 9 1 i i i I ff ff N I I a I I I I I I i i 9 1 ff 1 1 1 1 1 i 11 1 1 1- 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 v v i i I-r- i i i 1. 11—Hiiiiii <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(forlh-e owner)would be someone with notarized letter from owner authorizing same <br /> - -- I i <br /> OVER THE COUNTER PERMITTING "' **(��py.oi*Contract required) <br /> Reroofs if shingles Sewers.'. ,).-,Ser-vi'ci�a"'O-pgrades'AtC Fences(Plot/Survey/Footage) <br /> Driveways-N'o't over Counter if on.public.ro I adways..needs ROW <br />