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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 2 G <br /> Date Received Phone Contact for Permitting 3j Z 9�-l <br /> Owner's Name Owner Phone Number 613 51G9�7aGy <br /> Owner's,Address if JO � Sf' Owner,Phone Number <br /> � OHyRHI�t i FL. S�Z Owner.Phone Number. . <br /> JOB ADDRESS Z® � Sr �p}Y L 13"7 - LOT#` <br /> SUBDIVISION .PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 8 ADD/ALT = _ SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0' SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL 0= <br /> DESCRIPTION OF WORK I►41c2 daw✓► Y.c-t weer�d �v)bL�"i % WYGe..�O(�w wttw�- �✓ Mtu1 <br /> BUILDING SIZE, SQ FOOTAGE HEIGHT <br /> =BUILDING $ /SGC� .VALUATION OF TOTAL.CONSTRUCTION <br /> =ELECTRICAL $ AMRSERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY;= OTHER <br /> FINISHED FLOOR ELEVATIONS• FLOOD ZONE AREA =YES NO <br /> BUILD ER COMPANY �� tVG77cN � A7, 1 <br /> SIGNATURE REGISTERED I N FEE CURREN JOLN <br /> Address License# GC-G f SZ� Z <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address. License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL : COMPANY <br /> SIGNATURE REGISTERED 1. Y/ N- FEE CURREN •Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN .Y/N. <br /> Address License# I I , <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(PlottSurvey/Footage) ' <br /> Driveways-Not over Counter if on public roadways.;needs ROW . <br />