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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 5--j aC <br /> Phone Contact for Permitting <br /> Owner's Name 11C4(c6triFy Owner Phone Number <br /> Owner's Address 3 Soo 13 C 91 L 1-0 2fP;4 XL141 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LSD) R L CAI. 0—hr-P9 141LG5 LOT# <br /> SUBDIVISION E—mf t AO !L PARCEL ID# 2'q-2!`7 -0 0— 000-- O D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/AL = SIGN = = DEMOLISH <br /> I ALL REPAI. <br /> PROPOSED USE ]BLOCK <br /> F MM = OTHER <br /> TYPE OF CONSTRUCTION 0 FRA STEEL 0 DAY1 AotJtt L vv <br /> DESCRIPTION OF WORK zeu_ 3"FoAm Rani 91wZL5'&ZATE0 LgP1, 1-04'5& <br /> BUILDING SIZE SCI FOOTAGE � HEIGHT i 2 , <br /> UILDING $ Z2 ' VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> ZL <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES C' <br /> BUILDER " '� COMPANY © ! t ,(2— <br /> SIGNATURE C UUU REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 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 /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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, J'.(copy of;contract required) <br /> Reroofs if shingles Sewers:•:,,. ..,.Service-,Upgradbt kC ; Fences(Plot/Survey/Footage) <br /> Driveways-Not'over.Counter if on public.,'a ays.'. eeds ROW <br /> 7) l 1 <br />