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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rece ved Phone Contact for Permitting — <br /> Owner's Name �fll—� � �115' Owner Phone Number <br /> Owner's Address 1 -6S-z) u o CLS,.Z C2_ p Owner Phone Number <br /> GgL�Q�,JG1 L'J Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION a /�� PARCEL ID# OZ 2-L'9 2"1 CX:)�^ i <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION Q ceBLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK , 4cOL� 1 k;-�)'�1,3 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ Q - VALUATION OF TOTAL CONSTRUCTION /_ C1 <br /> =ELECTRICAL $ AMP SERVICE DUKEENERGY Q�I W.R.E.C. <br /> =PLUMBING $ /� �J,' �((� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l�,c'��: W <br /> 2 Iv <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO 9A"1 <br /> BUILDER f� COMPANY uAo 5�-Or)7,7- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address L License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> I <br /> 6 OTHER COMPANY <br /> 5 SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> i <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. (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 />